Name* First Middle Last PHASE ONE: MASTER'S CALLING MINISTRY CALLINGDo you feel called into vocational Christian ministry?* Yes No If so, describe your callingMENTORING ABROADDo you feel called to spend a year or more abroad involved in youth ministry as missions?* Yes No On a scale of 1 to 5, how would you rate your level of readiness in phase one? (1-Need more preparation and 5 – Very Prepared.)PHASE TWO: MINISTRY COMPETENCY COURSE: STRATEGIES FOR YOUTH WORK Momentum ParticipationHave you attended Momentum?* Yes No Product of Youth MinistryWhat is your view of the ultimate purpose of life?*What is your view of the ultimate purpose of the Church?*People Who LeadWhat is your view of the role of a youth minister?*Available Level Equipping Small Groups TEMPERAMENTHave you taken a temperament or personality assessment test?* Yes No If yes, which instrument was used? (DISC Profile, etc.)Have you ever raised ministry funds, either for yourself or for a ministry or mission project?* Yes No If yes, were your efforts successful? Yes No Have you contemplated which country or countries you might be best suited to live and minister in during your mentor experience?* Yes No If yes, which countries? If more than one, please rank belowPHASE 3: ADOPTION OF PARTNERSHave you already begun fund raising to mentor abroad through Global?* Yes No Have you secured a valid passport?* Yes No If yes, what is the expiration date of that passport? MM slash DD slash YYYY Have you ever visited the country or countries to which you may be assigned as a mentor?* Yes No If yes, please describe when, for how long and for what purposeDo you feel it would be essential for you personally to visit the country to which you may be assigned?* Yes No Do you feel it would be essential for you personally to visit the country to which you may be assigned before you actually move there to live for two years?If yes, please explainHave you developed a budget for such a visit as part of your fund-raising?* Yes No PHASE 4: ACQUIRING SKILLS, COMPETENCIES COURSE: STRATEGIES FOR YOUTH WORKHave you attended Momentum youth leadership conference?* Yes No What is your view of the ultimate purpose of life?*What is your view of the ultimate purpose of the Church?*What is your view of the role of a youth minister?*Have you participated in a Bible Study group?* Yes No If yes, where and for how long?Are you currently involved in a Bible study group?* Yes No If yes, please describe the nature of the group and the length of time you have participated in itHave you ever led a small group Bible study?* Yes No If yes, when and for how long?Have you ever visited small group Bible studies to learn how they operate?* Yes No AVAILABLE LEVEL EVANGELISMHave you ever participated in a service project, such as ministry to the homeless, shut-ins, orphans, etc.?* Yes No If yes, what was the project, and how often or how long did you participate?AVAILABLE LEVEL ENCOURAGING - CHURCHMANSHIPAre you a member of a church currently?* Yes No If yes, what is the name and address of the church, and the pastor's name?What is your view of the importance of the local church in the life of the believer?*ACCOUNTABILITY LEVEL EQUIPPING - DISCIPLING METHODSHave you read books on how to disciple?* Yes No If yes, what titles?Have you participated in a discipleship group?* Yes No If yes, who led it and how long were you in it?Have you ever led a discipleship group?* Yes No If yes, when, and who was it for?ACCOUNTABILITY LEVEL EVANGELISM - EVANGELISM EVENTSHave you ever participated in a mass evangelism/outreach event?* Yes No If yes, describeHave you ever helped to plan a mass evangelism/outreach event?* Yes No Have you ever been in charge of an evangelism/outreach event?* Yes No If yes, please describeHave you ever participated in an on-going campus evangelistic outreach ministry?* Yes No If yes, what was it and what did you do and for how long?ACCOUNTABILITY LEVEL ENCOURAGINGHave you ever participated on a regular basis in the planning and conducting of weekly activities for youth ministry?* Yes No If yes, what team or group were you a part of and what was your responsibility?ABILITY LEVEL EQUIPPING - TEACHING/SPEAKING SKILLSHave you ever taught a small group Bible study?* Yes No If yes, when and what was the setting?Have you ever given a talk for a large group?* Yes No If yes, when and what was the setting?ABILITY LEVEL EVANGELISM - PERSONAL EVANGELISM SKILLSHave you ever read books or taken college level courses on how to witness?* Yes No If yes, what were the titles and/or courses?Have you ever gone through evangelism training?* Yes No If yes, which type? Evangelism training could include EE (Evangelism Explosion), FAITH and others.Have you shared your faith one-on-one with another person?* Yes No Have you ever shared your faith in a public setting?* Yes No If yes, when and what was the setting?Have you ever led training for evangelism for other people?* Yes No If yes, when and what type of training did you lead?Have you participated in a national mission trip?* Yes No If yes, when and where?Have you ever participated in a cross-cultural international mission trip?* Yes No If yes, when and were was the trip?ABILITY LEVEL ENCOURAGINGHave you ever conducted a youth midweek service?* Yes No If yes, please describe what you were responsible forHave you ever planned a youth midweek service?* Yes No If yes, what was the nature of the group? Describe the nature of the service. What aspects were you involved in?COURSE: YOUTH ISSUES INTERPERSONAL SKILLS/CONFLICT MANAGEMENTHave you ever read books or taken college level courses on conflict management?* Yes No If yes, what courses and or book titles on conflict management?BASIC COUNSELING SKILLSHave you ever read books on counseling?* Yes No If yes, what titles (counseling)?Have you ever participated in altar counseling?* Yes No If yes, how often have you led altar counseling?Have you ever taken any kind of psychology courses?* Yes No If yes, please describeCOURSE: YOUTH MINISTRY ADMINISTRATION EMPOWERING LEADERSHave you read books or taken college level courses on leadership training?* Yes No If yes, what leadership books or titles?Have you ever been in charge of administration for an organization?* Yes No If yes, please describe your responsibilities with the organizationPERSONAL ORGANIZATIONHave you ever read any books on organizing your personal space or schedule?* Yes No If yes, what titles on organizing your personal space or schedule?How would you rate your personal space organization skills?* Very Organized Somewhat Organized Unorganized How would you rate your personal schedule organization skills?* Very Organized Somewhat Organized Unorganized ADMINISTERING FINANCESHave you ever been placed in charge of other people's money, either for an individual or for an organization or a project?* Yes No If so, please describe your financial responsibilities in the situationHave you ever had to develop a budget for an organization or for a project in your church, school or workplace?* Yes No If so, please describe your involvementCOURSE: PERSONAL/PROFESSIONAL LIFE OF THE YOUTH MINISTER VISION/LEADERSHIPHave you read books or taken college courses on vision casting or leadership?* Yes No If yes, what titles and/or courses and when was this?Do you have a personal vision for your own life?* Yes No If yes, please describe your personal vision for your lifeMORAL PURITYHave you read books on moral purity?* Yes No If yes, what books on moral purity?Have you been held accountable on a consistent basis for your own moral purity?* Yes No If yes, when was this and for how long were you held accountable?Have you participated in a peer accountability group?* Yes No Have you led an accountability group of peers?* Yes No If yes, when, with whom, and for how long?Are you currently* Married Engaged to be married In a steady dating relationship Divorced Single (never married) If engaged to be married, when is the wedding date? MM slash DD slash YYYY If single or engaged, do you understand and agree to the policies regarding relating to the opposite gender during your service?* Yes No Have you ever had a time of serious stumbling in the area of moral behavior we should know about before you enter into service?* Yes No EDUCATION/CONTINUING IMPROVEMENTWhat level of education have you completed?* What level of education would you like to achieve, and what plans do you have at this time to achieve your education goals?*Have you read books on personal improvement?* Yes No If yes, what were the titles and authors?Do you consider yourself to be a "reader?"* Yes No Name titles and authors of books you have read this year.*PERSONAL SPIRITUAL DISCIPLINESDo you have a personal quiet time?* Yes No Describe your consistency in quiet times over the past few years*Have you ever journaled as part of your daily regimen?* Yes No Have you memorized scripture?* Yes No If yes, please describe your scripture memoryHow would you describe your personal Bible study habits?*Have you ever fasted?* Yes No If yes, please describe your fasting experienceHave you ever experienced a longer period of personal meditation?* Yes No If yes, please describe your experience of personal meditation.PERSONAL LIFE: PERSONAL FAMILYWhat is the current state of your relationship with your family? Include: mom, dad, siblings & extended family.*What is the attitude of your immediate family toward your sense of ministry calling in general?* What is the attitude of your immediate family toward the idea of you being gone for two years or more to mentor youth abroad?* PERSONAL LIFE: PERSONAL FINANCESDo you have a personal monthly or weekly budget?* Yes No If yes, how well do you stay on your budget?* Well Fair Poorly Are you able to live outside the comfort of this culture, adapting to the lifestyle of a different culture?* Yes No (A less economically comfortable culture)Please describe your current indebtedness (school, automobiles, rent, etc.)*If you have outstanding loans, what is your plan for repayment? (Amounts, Dates of final repayment, etc.)COURSE: MENTORSHIPWhat skills do you possess that you think could be useful in a supervised ministry environment?*(Include athletics, music, drama, mechanic, speaking, etc. Along with the skill, list your level of proficiency and your experience with that skill.)Have you been mentored personally in leadership skills by another person?* Yes No If yes, who is that person and what was the relationship?Have you ever mentored another person?* Yes No If yes, who did you mentor and what was the relationship?Have you ever discipled someone from a different culture?* Yes No If yes, please describe that discipleship process.COURSE: YOUTH MINISTRY IN CULTURAL CONTEXTDo you consider yourself a well-groomed person?* Yes No Do you have any kind of piercings on your body?* Yes No Do you agree with the clothing guidelines of Global?* Yes No If not, what exceptions/questions would you like to discuss?Do you have any of the following habits or addictions? Smoking Non-prescription drugs Tobacco Are there any behavioral challenges that you would prefer to tell us so we don't learn it through a reference or by surprise?MEDICAL/FIRST AIDHave you been certified for First Aid?* Yes No Have you been certified for First Responder?* Yes No Have you been certified for EMT?* Yes No Are any of your certifications current?* Yes No Have you had an occasion to practice First Aid?* Yes No LANGUAGEDo you speak a language other than English?* Yes No If yes, what language/languages? What is your level of reading proficiency in your second language? Proficient Fair Elementary Beginner What is your level of speaking proficiency in your second language? Proficient Fair Elementary Beginner Have you been certified in English as a Second Language (ESL)?* Yes No Have you ever used ESL skills in a mission environment?* Yes No WORLD VIEWHave you read any books on world view?* Yes No If yes, what titles have you read about world view?MISSIOLOGYHave you read books on missiology?* Yes No If yes, what books have you read on missiology?Have you taken a missions course?* Yes No If you have taken a missions course, what was the course title and where did you take the course?Have you participated in a local mission project?* Yes No If you have participated in a local mission project, when and where?CULTURAL ADAPTATIONHow long is the longest period of time you have spent outside the United States?* Please describe the longest period of time you have spent outside the United States.How would you characterize your cooking skills?* Good Fair Poor How would you characterize your willingness to try different foods?* I am a picky eater I can eat some foods with which I am unfamiliar I can eat most anything PHASE 5: SITE ADAPTATIONHave you ever lived alone?* Yes No Have you ever had to secure a visa, either a tourist visa or a residency visa?* Yes No Have you ever been in charge of managing a household for another person?* Yes No Have you ever been denied entrance into another country? If so, explainHave you ever been on a plane?* Yes No Do you have a comfort level with air travel, or with travel in general?* Yes No OTHER COMMENTS
