SUMMIT COLLEGE

City Project 2014 Application

- Due Date: 2.1.14 -

The VisionThe GO NOW Initiative is a growing movement of college students at The Summit Church who are committing their summers or 2-Years of their lives after college to join one of Summit's local, national, or international church plants.

God is the Creator and Sustainer of all things, and we have all fallen short of his holy intentions for our design. We have all earned death through our wretched sin. But God, being rich in mercy, has provided a way for us to be reconciled back to himself through giving his own Son, Jesus Christ. That is the good news we call the GOSPEL – that Jesus, who is God, came and lived the life we could not live, died the death we deserved, and then rose from the dead, defeating death, sin, and the grave – anyone who calls on the name of Jesus will be saved from the eternal death they deserve, forgiven of their sins, and be adopted as a child of God! Scripture teaches that God is drawing all men to himself and that Jesus is the only way to God – that through trusting and following Jesus alone, men and woman can be reconciled to God. Jesus has invited us to be his disciples and commanded us to go into the entire world and make disciples of all nations! As we seek to join this mission, we also see in Scripture that God’s primary means to accomplishing his purposes is the local church. Therefore, we, as The Summit Church, are seeking to grow deeper in this gospel of Jesus Christ together and make disciples of all nations. That’s what “Go Now” is all about – every single one of us living as a missionary, growing deeper in the gospel, and proclaiming this great news of hope to the entire world – those across the street and around the globe! We invite you to come join us in the mission of God in order that the slain Lamb of God will truly receive the reward of his great suffering (Rev. 5). Come with us and be a disciple who makes disciples!

Dave Turner Mitch McCaskell Wes SmithCollege Pastor Associate Pastor of Missions College Pastor of DiscipleshipThe Summit Church The Summit Church The Summit Church

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About City Project The City Project is an eight-week discipleship opportunity for college students where students are trained to grow deeper as a disciple of Christ and learn to make disciples who make disciples! This is a chance to spend two months being immersed in the local church and cities around the globe. Each person will travel to New York City for one week to engage Muslims, Hindus, Sikhs, and Buddhists with the gospel. The middle of the summer includes several weeks in Durham receiving practical theological & ministry training by passionate and gifted pastors at The Summit Church. During this time students will learn to effectively share the gospel and give their lives away to the city of Durham, NC in response to the gospel through internships with local ministries and members of the Summit Staff. During the last two weeks of the summer, each student will travel abroad to serve in an international context alongside of Summit Church Planters. This is an unbelievable opportunity to explore the mission of God, develop a heart and mind for God, and better understand what it means to leverage one’s entire life for the gospel of Jesus Christ. These eight weeks will teach students how to practically Love God, Love Each Other, and Love Our World!

When: May 27th-July 24th

Cost: $4800

Where: During City Project, students will spend one week serving in New York City, several weeks training, learning, and serving in Durham, and two weeks in an international context in Serbia, India, Montreal, London, South Africa, or Taiwan.

Next Step: Fill out the City Project Application. Applications are being accepted through February 1st, 2014. There are only 60 spots available. Applications and additional information are available at www.summitrdu.com/gonow. Applications should be submitted via email to gonow@summitrdu.com. Once applications are received, a member of the SummitCollege Staff will immediately contact each student to setup an interview. Students will then receive notification of their acceptance into the program by February 15th and be invited to attend a required Go Now Kickoff on Saturday February 22nd.

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City Project Application Instructions Complete all portions of this application. Any blank questions or missing items will

result in an incomplete application. Answer each question honestly – all applications are kept confidential.

Include 3 reference forms completed by each of the following people. It is your responsibility to ensure that references are submitted by the application deadline. (blank reference forms are available at www.summitrdu.com/gonow; references can be returned to you and submitted with your application or submitted directly to gonow@summitrdu.com by the one providing the reference).

o Pastor/Small Group Leader/Campus Ministry o Employer or Professor o Family Member or Friend

Attach a recent color photograph of yourself to your application.

Attach a color copy of your passport. You must have a valid U.S. Passport with an expiration date of January 2018 or later OR have proof that you have applied for one before we will process your application. (To apply for or renew a passport, see http://travel.state.gov/passport).

When you have all of these items completed, please email your application to gonow@summitrdu.com with “City Project Application for [your name]” in the subject line. If there is a valid reason why you are unable to submit your application and required materials via email, you can mail them together to:

The Summit Church Attn: The City Project2335-114 Presidential DriveDurham, NC 27703

Applications will not be considered complete until all required materials have been received.

APPLICATIONS AND ALL SUPPORTING MATERIALS ARE DUE NO LATER THAN FEBRUARY 1 ST , 2014 .

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City Project ApplicationSection 1: General Information

Full Legal Name_____________________________

Preferred Name_____________________________

Age______ Birthdate ___/____/___ Gender ___ Male ___ Female

School Address___________________________________________________________

City______________________________________State___________Zip____________

Primary Phone # ( )______ -________ Secondary Phone # ( ) ______ - ______

E-Mail ____________________________________________

Drivers License # and State of Issuance _________________SS#_____________________

Parents/Guardians ____________________________ Primary Phone ( ) _____-_______

Parent/Guardian Email______________________________________________________

Home Address ___________________________________________________________

City __________________________ State ___________ Zip _____________________

Whom should we notify in case of emergency?

____ Parents (at the above address and phone number)

____ Other (at the following address)

Name ____________________ Relationship ___________________ Phone __________

Email Address ___________________________________________________________

Name ____________________ Relationship ___________________ Phone __________

Email Address ___________________________________________________________

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Your T-Shirt Size: __S __M __L __ XL __XXL

Do you have a current passport? ______ Passport #:_____________________________

Name exactly as it appears on your passport: _____________________________________

Expiration Date on Passport ________________ Issue Date on Passport _______________

If you do not have a passport, what date did you apply for a passport? __________________

Do you have current auto insurance? If yes, what is the company and policy number? ______________________________________________________________________

Name of Auto Insurance Policy Holder _________________________________________

Do you speak any other languages? _____ If yes, which ones? ________________________

Are you a Church member? _____ If yes, where? _________________________________

When did you become a member? ____________________________________________

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Section 2: Education/ Work Experience

Are you currently attending school? ___ Yes ___ No If yes:

Where: _________________________________What Class/Year: __________________________

Major/field of study _________________________

Have you graduated from college? ___Yes ___ NoIf Yes:

Date________________________ Where_______________________

Please list any special skills (i.e. CPR, Lifeguard, EMT, etc):

Current or most recent employer:

Company name___________________________________________________________

Your title/position_________________________________________________________

Address________________________________________________________________

Phone Number (___)__________ Email _______________________________________

Supervisor’s name______________________ Date started ______Date left____________

Description of duties and responsibilities:

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Section 3: Background Questions

Have you ever been arrested and/or convicted of a misdemeanor or felony? __Yes __No

Have you ever been convicted of a crime of child abuse, or a crime involving actual or attempted sexual molestation of a minor? __Yes __No

Have you ever been under a doctor’s care for any mental illness such as depression, anxiety disorders, eating disorders, etc? __Yes __No

If you answered yes to any of the above questions, have you had professional counseling or rehabilitation? __Yes __No

If you answered yes to one or more questions, please describe the situation(s) NOTE: Answering “yes” to any question does not necessarily exclude you from the selection process, and all answers are confidential, so please be honest.

Travel Insurance:

The Summit Church will purchase an insurance policy for you for the international portion of the summer, described by the provider as: Travel Insurance for the volunteer who has US major medical insurance in place for the duration of their trip. The coverage includes overseas medical reimbursement, evacuation, disability, property and an assistance service.

Please list below your beneficiary for this insurance (usually your parent(s) are the best option for this).

_______________________________ ________________________________Beneficiary’s Name Relationship to you

Background Check:

A satisfactory background check is required for all students. Please provide the required information below.

Your social security number: _____________________ Date of Birth: _____________________ Driver’s License Number: _____________________ Driver’s License State: _________________

Previous address if less than three years at current address:

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Section 4: Ministry & Personal Experience Are you involved in a campus ministry? ___ Yes ___ NoIf yes:

Which one? _________________________________ Who is your campus leader? _____________________

Please answer the following questions. Please limit answers to the space provided.

1. What is the gospel of Jesus Christ? When was the last time you were able to share it with someone? How did it go?

2. Describe your salvation experience and testimony. Include what are you are learning about God right now.

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3. Please describe a time recently when you endured suffering in some way. How did you respond? What did you learn?

4. What does it mean to be teachable, humble, and flexible? How are you doing in these areas?

5. Briefly describe a time when someone else corrected you? How did you respond? What did you learn?

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6. How are you currently serving in a local church?

7. How are you currently serving on your college campus?

8. How do you feel God is calling you to be a part of his mission? What do you think the next chapter of your life will look like?

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9. Why do you want to be part of the City Project?

10. Have you ever been on a mission trip before? If yes: where, when, with whom, for how long? What were your responsibilities? What did you learn?

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SHARING OF CHRISTIAN BELIEFS SUMMARY

Please check whether or not you believe the following statements. If your answer is “no” to any questions, please explain below.

1. What do you believe about the Scriptures? I believe …__Yes __No the Bible is God’s Holy Word; it is the written revelation of God.__Yes __No the Bible was written by men who were divinely inspired by God.__Yes __No the Bible is our final authority. It is the supreme standard by which all human conduct,

creeds, and religious opinions should be tried.__Yes __No the Bible is truth, is reliable, is infallible, is totally error free, including all of the miracles and

historical narratives.

2. What do you believe about God? I believe…__Yes __No there is only one God and He reveals himself to us as Father, Son and Holy Spirit, each

with distinct personal attributes, but without division of nature, essence, or being. __Yes __No the three persons of the Trinity are co-eternal and co-existent.__Yes __No God is personal, omnipresent, omniscient, omnipotent, holy and just. He is love.__Yes __No God created and sustains all things that exist.__Yes __No God knows all things, past, present, and future.

A. About God the Father? I believe…__Yes __No The Father is the first person of the Trinity.__Yes __No He is the Father of Jesus Christ.__Yes __No The Father adopts as children those who accept Jesus Christ as Savior.__Yes __No He is fatherly in His attitude toward all men.__Yes __No The Father is all-powerful, all knowing, all loving, and all wise.

B. About God the Son? I believe…__Yes __No Jesus Christ is the eternal, only begotten Son of God and that He is fully God and fully man. __Yes __No He was conceived of the Holy Spirit and born of the virgin Mary.__Yes __No He lived a sinless life.__Yes __No He suffered and died on the cross for the redemption of men from sin.__Yes __No He was buried and was raised from the dead with a glorified body on the third day and

appeared to his disciples.__Yes __No He ascended to heaven and is now at the right hand of the Father.__Yes __No He will return personally and visibly.

C. About God the Holy Spirit? I believe…__Yes __No the Holy Spirit is the third person of the Trinity; He is the Spirit of God.__Yes __No He exalts Christ.__Yes __No He inspired the writers of the Bible.__Yes __No He illuminates the Scriptures for our understanding.__Yes __No He convicts of sin, of righteousness and of judgment.__Yes __No He calls men to the Savior, and effects regeneration.__Yes __No He bestows spiritual gifts by which believers serve God through His Church.__Yes __No the Holy Spirit baptizes every believer into the Body of Christ at the moment of

regeneration.__Yes __No He seals the believer unto the day of final redemption.

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3. What do you believe about man? I believe …__Yes __No every person has dignity and worth.__Yes __No human beings are created for God’s glory, including the creation of genders. __Yes __No every human being has fallen short of God’s requirements.__Yes __No all human beings are lost without a personal relationship with Christ.__Yes __No human beings cannot save themselves; only the grace of God can bring man into fellowship with

Him.

4. What do you believe about salvation? I believe…__Yes __No man is sinful and separated from God.__Yes __No God loves man and is “not wishing that any should perish, but that all should come to repentance.”__Yes __No Jesus Christ is God’s only provision for salvation.__Yes __No that without repentance and personal faith in Jesus Christ, men are lost and will spend eternity in

hell—including those who have never heard the Gospel.__Yes __No salvation is by grace.__Yes __No all true believers endure to the end.

5. What do you believe about the local church? I believe…__Yes __No the church is a body of baptized believers.__Yes __No the church observes two ordinances: baptism and Lord’s Supper.__Yes __No believer’s baptism is to be by immersion in water.__Yes __No the Lord’s Supper is an act by which members of the church memorialize the death of Christ and

anticipate His second coming. __Yes __No the church is an autonomous body under the Lordship of Jesus Christ.__Yes __No the Scriptural offices of the church are pastors and deacons.

6. What do you believe about the family? I believe … __Yes __No marriage is a gift of God for a man and a woman only.__Yes __No men and women are created in God’s image, though they have different roles in marriage.__Yes __No Christian parents are to raise their children in the nurture and admonition of the Lord.__Yes __No sexual expression is to be reserved for marriage, and monogamy between spouses is God’s

requirement.

7. How are you involved in witnessing to lost persons?__Yes __No I understand that evangelism requires verbally sharing my faith in Jesus Christ with all people. __Yes __No I am an active, verbal witness to my faith in Jesus Christ. __Yes __No I have led lost people to faith in Jesus Christ. __Yes __No I am committed to being a faithful, obedient soul-winner on the mission field.

Explanation of any “no” answers above:

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City Project Medical Release FormName __________________________ Social Security # _________________________

Date of Birth ______________ Medical Insurance Company________________________

Policy Number __________________________________________________________

Name of Policy Holder ____________________________________________________

Medical Insurance Company Phone Number ____________________________________

Childhood Immunizations (These must be up to date, please do not leave blank)YES NO TYPE Year Administered____ ____ Mumps/Measles/Rubella ____________ ____ Diptheria/Pertussis/Tetanus ____________ ____ Polio ____________ ____ Tetanus (within 10 years) ____________ ____ Other _______________ ________

Blood Type: _____________

Are you currently taking any prescription medication? ___ Yes ___ NoIf Yes please specify the medication(s), their purpose, and the dosage:

Are you currently taking any non-prescription drugs on a regular basis? ___ Yes ___ NoIf Yes please specify the medication(s), their purpose, and the dosage:

Have you ever received treatment or counseling for alcohol or chemical abuse? ___ Yes ___ NoIf Yes, please explain:

Have you ever received treatment or counseling for any form of addiction, anxiety, or depression?___ Yes ___ No If Yes, please explain:

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When was the last time you intentionally viewed pornographic material? __ Never__ In the past 2 weeks__ In the past 6 months__ In the past 1 year__ More than 1 year ago

If you have intentionally viewed pornographic material, have you talked to anyone about it? Where are you in your pursuit of purity? Please explain:

Are you presently under a physician’s care for any illness? ___ Yes ___ NoIf Yes, please explain:

Is there anything in your past that would hinder you working with children? ___ Yes ___ NoIf Yes, please explain:

Please list any special health concerns including food, drug, or natural allergies.

Please list any medical concerns/issues we should be aware of. Trips often involve physical activity in areas with limited access to quality medical care. Culture shock and a new environment can also trigger anxiety and other emotional issues at times. Do you have any preexisting health or emotional issues that could limit your participation with your team?

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City Project Covenant (Please Read & Initial)

______ I will strive to bring Glory to the Lord Jesus Christ in all I do and say as apart of this assignment. I will maintain the highest standards of Christian character, conduct, and courtesy. In order to maintain the credibility of my Christian witness, I will keep my character above reproach.

______ I will be an encourager to my fellow brothers and sisters in Christ. ______ I will submit to those who have been given authority over me at all times. ______ I will attend the Go Now Kickoff on Saturday February 22nd, 2014 (all day). ______ I will attend the Landmark Meetings (approximately 4-5 meetings) between

the time I’m accepted and the beginning of the summer. These are held on Sunday after church in Brier Creek for preparation and coaching.

______ I understand that if I act in a way that is dishonoring to the name of Jesus and do not submit to the leadership of The Summit Church at any time during my assignment, I could be dismissed from the program.

______ I will be flexible, teachable, and humble throughout the summer in effort to grow as a disciple of Christ and bring glory to the name of Jesus in all I do and say.

______ I agree to have a servant’s attitude at all times. The needs and priorities of those I go to serve are more important than my own.

______ I will continue to have a consistent time where I spend time with Jesus. I agree to maintain a daily and healthy relationship with God, continuing to pursue my own spiritual growth and dedicating myself to pray for ministry and my own spiritual growth.

______ I understand that excessive use of the Internet, email, phone, text messaging, and social media may be discouraged and limited during my assignment. I agree to monitor myself, and resist activity that keeps my focus from my ministry.

______ I understand that my application will not be complete until I have submitted all materials listed in the instructions of this application. I understand that there are limited spots available for this program and that I am not guaranteed a spot in the program until I receive notification of my acceptance after being interviewed.

______ I have honestly disclosed any spiritual and medical issues/history that could affect my participation in this program.

______ I hereby authorize the Summit Church permission to perform a legal background check.

______ I have a passport or have applied for one.

Signature: ______________________________ Date: _________________________

Parent’s Signature (If under age 18) ___________________________ Date: _____________

This application and all supporting materials (recent picture of yourself, color copy of your passport, and 3 references) should be emailed to gonow@summitrdu.com. The final

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deadline for the application and all supporting materials is February 1st, 2014 at 5:00PM EST.

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