Online Application

Application- 4 Easy Steps

1) Complete Online Application and Online Self-Assessment Form.

2) Write a brief essay (can be written and submitted online)

3) Ask your minister, youth minister, other adult (no family member) to complete your reference form. You can send them the link to the online form.

4) Submit Online (or mail) the all elements of the application to YiM before June 1, 2012.

**Deadline for all 4 Application Elements is June 1, 2012**

Registration Fee

The Registration Fee for the YiM Student Leadership Conference is $350.00.
Students attending the conference for the first time and who apply before the June 1, 2012 deadline, may be eligible for a $250.00 scholarship, leaving a balance of $100.00.
Registration scholarships are limited and are provided as funds are available.
The Registration Fee for students who have previously attended the conference is $350.00.
The Registration Fee is not due until you receive an acceptance letter with additional details and information.

Application

First Name*

Last Name*

Gender*

FemaleMale

Home Address*

Home City*

Home State*

Home Zip*

Home Phone*

Cell Phone*

Email Address*

Date of Birth
(mm/dd/yyyy)*

Name of Parents/Guardians*

Parent/Guardian Phone*

Emergency Contact Name*

Emergency Contact Phone*

High School Name*

Graduation Year*

Name of Home Church*

Church City*

Church State*

Pastor's Name*

Youth Pastor Name*

Have you attended the YiM Student
Leadership Conference before?
(if yes, please answer the next
Question as well)*

YesNo

If you have attended the YiM Student Leadership
Conference before, please select each of the years
you have attended

200920102011

VOCATIONAL INTERESTS: We would like to get an idea of your vocational interest(s).
Please look at the list of vocational interests below and select ALL THAT APPLY to you.

Vocational Interest
(check all that apply)*

Business/Industry
Children’s Ministry
Christian Counseling
Computer Information Systems
Creative Arts Ministry (inc. Drama)
Education
Healthcare (doctor, nurse, etc)
Humanities
Law
Media and Communications
Medical Missions
Missions
Politics/Government
Preaching Ministry
Psychology
Worship Leadership
Youth Ministry
Unsure
Other, please specify below

If you checked "other" above
please specify here

DEADLINE FOR SUBMISSION--BEFORE JUNE 1, 2012

Self Assessment

Please give an honest assessment of how you see yourself in the following categories on a scale from 1-5

1=Strongly Agree 2=Mildly Agree 3=Neutral 4=Mildly Disagree 5=Strongly Disagree

I am a person who has/is:

1. A faith that involves all of my life*

2. Known as a person on integrity*

3. A leader of my peers*

4. Highly involved in church activities*

5. Open to new insights, thinks well,
and asks important questions*

6. A serious student of the Bible*

7. Demonstrates self-awareness in
relationships*

8. A consistent and faithful prayer life.*

9. Often thinks of others before myself*

10. Inquisitive about the meaning of life*

11. Displays a consistent desire to
develop spiritually, and is willing
to be challenged*

12. A mature faith for my age*

13. Strong potential to thrive in a
training program that will be
intensive & challenging*

14. Strong potential to develop as a leader*

Essay

Please prepare a brief essay of 300-500 words, discussing the following:

1. Discuss why you are interested in participating in the YiM conference and what you hope to gain from the experience, etc.

2. Discuss the plans and dreams you have for yourself after graduating from high school. What colleges are you considering? What are your career goals, etc?

3. In what way is your Christianity influencing your desires for the future?

*You can submit the essay in the following text box*

Write your Essay Here
(you can copy and paste from Word
if that would be easier for you)*

Reference Form

Have one person such as your Senior Minister, Youth Minister or other Christian Adult complete the Reference Form (no relatives), assessing their perception of you.

You will need to send the following link to your reference in order for them to complete the online form:
http://youthinministry.org/Reference

*In the event that your reference does not have access to the internet and would need you to mail them a hard copy of the reference form, you can download and print the form to mail to them by CLICKING HERE

Submit