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YLTP Prospectus Northwest Baptist Seminary

FEBBC/Y

Youth

Commission

Northwest

Baptist

Seminary

The

Local Church

Youth Leadership Training Program

INTRODUCTION

A unique, three-way partnership between the B.C.

Fellowship Baptist Youth Commission, Northwest

Baptist Seminary and the local church, the Youth

Leadership Training Program offers a creative

method for Fellowship Baptist churches to prepare

gifted people to fulfill their calling to minister to youth.

The Youth Leadership Training Program, offers a way

for members of Fellowship Baptist Churches to train for

professional youth ministry. A creative and innovative blend

of mentored learning, in-church training, and formal

academic courses develops a godly pastoral perspective and

effective leadership skills in an affordable manner. If admitted individuals complete

both levels of the program, they would earn an accredited Master’s degree while

they are being mentored by experienced ministry leaders. This program offers a way

for people who are recognized for their gifting and calling to find support for their

ministry training through partnership with Northwest, the Youth Commission and

their local church. Such individuals will have the advantage of learning on the job,

guided by experienced ministry leaders and seminary faculty.

ACADEMIC EXPECTATIONS

Students seeking admission to the FEBBC/Y Youth Commission/NBS Youth

Leadership Training Program must have two years (60 credit hours) of formal post-

secondary education or its equivalent as evaluated by NBS.

Stage One: Diploma in Youth Ministry - (30 credits)

This part of the program includes a significant component of closely mentored,

practical, in-church training.

Stage Two: Master of Arts in Christian Studies - (51 credits)

The Diploma in Youth Ministry is issued by Northwest Baptist Seminary and the

Master of Arts Christian Studies is an ACTS Seminaries program.

TUITION COSTS

The current rate for Diploma level courses is $175 per credit over a total 30 credit

hours.

$175 X 30 = $5,410* Church $1,803 Seminary $1,803 Student $1,803

*Adjusted to include RES500 Research Strategies which is charged at the current ACTS Seminaries tuition rate.

The current rate for Masters level courses is $335 per credit over a total of 51 credit

hours as determined by ACTS Seminaries.

$335 X 51 = $17,085 Church $5,695 Seminary $5,695 Student $5,695

MENTORED STUDENT

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Youth Leadership Training Program

YLTP Prospectus Page 1 Northwest Baptist Seminary

Checklist

Dear Youth Pastor

*

Here is how we suggest you pursue your interest in the FEBBC/Y Youth

Commission/NBS Youth Leadership Training Program.

1. Read all the enclosed information in order to determine whether a) the

student mentoree you are considering for this program and b) your church

situation would meet the program expectations. (This step will require you to

obtain considerable background information from the student mentoree)

2. Contact Northwest Baptist Seminary to confirm the student's general

academic qualifications.

Phone: (604) 888-7592

E-mail: [email protected]

3. If indications from the Seminary are generally positive, contact Rob Schweyer

& Ken Castor from FEBBC/Y Youth Commission to confirm the suitability of

the mentoring/ministry setting.

Phone: (604) 467-9613 (250) 248-6322

E-mail: [email protected] [email protected]

4. If indications from FEBBC/Y Youth Commission are generally positive, you &

the student mentoree must make a formal proposal to your Senior Pastor

and Church Board seeking their support for the program. They will be

required to sign the application form.

5. If the church leadership approves support, you & the student mentoree will

complete the application and submit it to FEBBC/Y Youth Commission for

consideration.

6. FEBBC/Y Youth Commission will consider the application and if suitable will

seek an interview with you & the student mentoree at a date no later than

June 15.

7. FEBBC/Y Youth Commission will then submit the application to NBS with

their recommendation.

8. NBS issues an acceptance letter and course registration information to the

student.

9. On receipt of the letter, the student mentoree will register for September

courses. Books will then be ordered and students will prepare to begin.

*

This package is designed to be used by youth pastoral mentors. If you are a student who is interested in the

training program you need to contact your youth pastor and discuss this program with him or her to determine

if this program really fits for you.

Deadline May 15

Deadline June 15

Deadline June 30

Deadline July 15

Deadline July 30

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Youth Leadership Training Program

YLTP Prospectus Page 2 Northwest Baptist Seminary

Schedule

The following is a proposed schedule of courses for the duration of the Youth

Leadership Training Program. Students are free to customize their own schedule

with the advice of both the Seminary and the church. It should be noted, however,

that the Diploma must be completed (minimum G.P.A. 3.0) before the student can

be admitted to Master of Arts courses within ACTS Seminaries.

The Diploma part of the program will include a significant component of closely

mentored, practical, in-church training.

Admission to the Master’s component of the program will be on academic probation

for the first 15 credits of the Master’s level study pending achievement of an

acceptable GPA.

First Stage: Diploma in Youth Ministry - (30 credits)

Fall Semester (12 credits)

YMN 301 Foundations of Youth Ministry (3)

YMN 310 SonLife Strategies (3)

YMN 311 Youth Ministry Programming (2)

YMN 401 The People of God and the Practice

of Ministry (4)

Spring Semester (11 credits)

YMN 302 Introduction to Youth Ministry (3)

YMN 312 SonLife Advanced I (3)

YMN 402 Youth Counselling (4)

YMN 500 Research Strategies (1)

(this is an ACTS prerequisite – RES 500)

Summer Semester (7 credits)

YMN 403 Spiritual Formation for Leaders (3)

YMN 404 Evangelism and Youth Ministry (4)

( or )

YMN 405 Missions and Youth

Please note that students are not obligated to continue to the MACS program but could

conclude their studies with the diploma program.

Second Stage: Master of Arts in Christian Studies [MACS] -

(51 credits)

The MACS is offered by Northwest Baptist Seminary through its participation in the

ACTS Consortium (Trinity Western University). All ACTS rules and protocols apply.

The degree can be completed in two years (though a student can take longer if

desired). Students can be expected to contribute as many as 40 hours of work per

credit hour over the course of the 15 weeks of the semester. A student would then

need to commit to 24 hours per week of academic study if taking 9 credits in a given

semester (each course is three credits in length). Note also that each MACS

student must complete 12 credits toward a specialization (either Bible, Theology, or

Pastoral/Church Ministries).

The following schedule assumes the student begins in the fall of an odd numbered

year. This plan would require two week-long visits to campus each semester, once

early in the semester and the other toward the middle of the semester. The rest of

the program can be managed online. Please note that CLD 510 requires an extra

visit. This course is concluded by late September so as not to interfere with other

Fall semester courses. For further details, please see www.acts.twu.ca.

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Youth Leadership Training Program

YLTP Prospectus Page 3 Northwest Baptist Seminary

First Fall Semester – 12 credits (September through December)

CLD 510 – Introduction to Christian Leadership

CLD 531 – The Personal Life of the Christian Leader

HIS 000 – History Elective

Elective – Specialization Course

First Spring Semester – 9 credits (January through April)

CLD 532 – Power, Change, and Conflict

BIE 505 – Biblical Hermeneutics

Elective – Specialization Course

First Summer Semester – 6 credits (May through August)

BIE 000 – Old Testament Elective

Elective – Specialization Course

Second Fall Semester – 9 credits

CLD 533 – Mentoring, Team-Building and Equipping

THS 571 – Believer’s Church Theology

Elective – Specialization Course

Second Spring Semester – 9 credits

CLD 534 – Vision, Strategic Planning, and Organizational Leadership

THS 680 – Christianity and Culture

Elective – Specialization Course

Second Summer Semester – 6 credits

BIE 000 – New Testament Elective

MCS 810 – Graduate Essay

Graduation Options - ACTS policy states that a student must complete all but three

credits of their program by the end of a spring semester in order to participate in

graduation, providing that the outstanding course is completed in the subsequent

summer. The graduate essay must be completed before the student can “walk” at

graduation. Therefore, a student wishing to participate in graduation in April of the

second year should begin the graduate essay (MCS 810) in the preceding summer

or fall.

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Youth Leadership Training Program

YLTP Prospectus Page 4 Northwest Baptist Seminary

Financial Expectations

It is anticipated that the student will be a full-time intern employed by the church

under the direction of the youth pastoral mentor throughout the duration of the

program. While these arrangements can be negotiated the plan is that the church

would provide basic living expenses (perhaps room and board) plus one third of the

cost of ACTS/NBS tuition (not including SonLife fees). The other two thirds would be

shared equally between the student and the Seminary by way of scholarship. Terms

of employment are entirely within the province of the church and student.

The Seminary reserves the right to limit the number of students enrolled in the

program as funds allow.

Students will be responsible for their own costs related to any additional courses

required to meet program admission standards. Books and supplies are the

responsibility of the student.

TUITION COSTS

The current rate for Diploma level courses is $175 per credit over a total 30 credit

hours.

$175 X 30 = $5,410* Church $1,803 Seminary $1,803 Student $1,803

The student and church would be responsible for a total of $1750 each, spread

unevenly over the three semesters of the first year. This amount does not

include the cost of books, supplies, or SonLife fees which would be over and

above these costs and are the responsibility of the student and church.

*NOTE: RES500 Research Strategies is an ACTS course and falls under ACTS

current ACTS tuition rates. This adjustment is reflected in the figures above.

The current rate for Masters level courses is $335 per credit over a total of 51 credit

hours as determined by ACTS Seminaries.

$335 X 51 = $17,085 Church $5,695 Seminary $5,695 Student $5,695

The student and church would be responsible for a total of $5115 each, spread

unevenly over the seven semesters of the second and third year. This amount

does not include the cost of books and supplies which would be over and

above these costs; nor does it allow for inflationary increases from year to

year.

SUMMARY: reflecting a projected 5% yearly adjustment for inflation at the masters

level given the student commencing this program in the Fall 2006 semester.

Student Church Seminary Scholarship*

Diploma Tuition $1,803 Diploma Tuition $1,803 Diploma Tuition $1,803

Masters Tuition $5,695 Masters Tuition $5,695 Masters Tuition $5,695

TOTAL TUITION:

(+5% adjustment)

$7,782 TOTAL TUITION:

(+5% adjustment)

$7,782 SCHOLARSHIP: TOTAL $7,782

SonLife Costs $1,124 SonLife costs are over and above the regular course tuition rates.

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Youth Leadership Training Program

YLTP Prospectus Page 5 Northwest Baptist Seminary

Pastoral Mentor Expectations

To serve as a mentor in the Youth Pastor Training Program a Youth Pastor must:

1. Be Sonlife Advance II trained

2. Present to the Youth Commission their ministry model, including 6 completed

KRA’s, and a one page Description of a Discipled Person.

3. Have served a minimum of 3 years in youth ministry.

4. Have their present ministry evaluated by at least two people approved by the

Youth Commission.

Once these steps have been taken, the Youth Commission will make the final call as

to the qualification status of the potential mentor.

Any exceptions to these guidelines must be approved by a vote of the Youth

Commission.

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Youth Leadership Training Program

YLTP Prospectus Page 6 Northwest Baptist Seminary

First Year Calendar of Events

Jan - April ...Youth pastor works with the YLTP candidate investigating with the candidate

issues of suitability, calling, timing etc.

**This includes requesting NBS to check the candidate's academic

qualifications. (transcripts will be needed).

May 15 ...Completed application form and references submitted to the Youth

Commission.

June 15 ...Last date for Youth Commission interview of applicant.

June 30 ...Last date for applications of approved candidates to be submitted to NBS by

the Youth Commission.

July 1...NBS issues Fall semester contract letters to course instructors and mentors.

July 15...NBS issues a letter of acceptance and registration information to each

approved applicant.

July 30...Last date for new student to register for Fall semester courses.

July 30...NBS orders books and materials for the Fall semester.

August 15...Syllabus and book package sent to students.

September 1 ...Fall semester begins.

October 1...NBS sends out Spring semester contract letters to course instructors and

mentors.

October 30...NBS orders books and materials for the Spring semester.

**Students pre-register with ACTS for YMN 500

December 1 ....Spring semester syllabus and book package sent to students.

January 2 ...Spring semester begins.

January 2 ...NBS sends out Summer semester contract letters to course instructors and

mentors.

January 15 ...Grade submission deadline for Fall semester

**Payment of Fall semester stipends.

January 31 ...NBS orders books and materials for the Summer semester.

April 1 ...Summer semester syllabus and book package sent to students.

May 1 ...Summer semester begins.

May 15 ...Grade submission deadline for Spring semester

**Payment of Spring semester stipends.

June 1 ...Application to ACTS Seminaries

Sept. 15 Grade submission deadline for Summer semester

**Payment of Summer semester stipends.

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NORTHWEST BAPTIST SEMINARY

APPLICATION FOR ADMISSION TO

YOUTH LEADERSHIP TRAINING PROGRAM (YLTP)

1. Print your full name:

FIRST LAST MIDDLE (WIFE'S NAME IF MARRIED)

2. Print your current mailing address:

STREET CITY PROV/STATE POSTAL CODE PHONE NUMBER

3. Print your personal & contact information:

S / M

SOCIAL INSURANCE NUMBER BIRTHDATE MARITAL STATUS PHONE NUMBER E-MAIL ADDRESS

4. Print youth pastoral mentor information:

NAME OF YOUR PASTORAL MENTOR OFFICIAL POSITION PHONE NUMBER EMAIL ADDRESS

5. Print your church's name:

6. Print your church information:

STREET CITY PROV/STATE POSTAL CODE PHONE

7. Print your educational history: XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX

NAME OF INSTITUTION DEGREE/DIPLOMA RECEIVED YEARS ATTENDED

• PLEASE BE SURE TO HAVE OFFICIAL TRANSCRIPTS OF ALL PREVIOUS POST SECONDARY

EDUCATION SENT TO NORTHWEST BAPTIST SEMINARY - ATTENTION REGISTRAR

• PLEASE ATTACH A COPY OF YOUR PERSONAL TESTIMONY

STUDENT'S SIGNATURE and YOUTH COMMISSION'S APPROVAL

I HEREWITH MAKE APPLICATION FOR ADMISSION TO THE YOUTH LEADERSHIP TRAINING PROGRAM AND

CONFIRM THAT THE ABOVE INFORMATION IS COMPLETE AND CORRECT.

___________________________ _________________ _________________________

Applicant's Signature Date FEBBC/Y Youth Commission Signature

CHURCH'S COMITTMENT

WE HEREWITH CONFIRM OUR COMMITMENT TO SUPPORT THE ABOVE NAMED STUDENT FOR THE DURATION

OF HIS ENROLMENT IN THE YOUTH LEADERSHIP TRAINING PROGRAM AS DESCRIBED IN THE PROSPECTUS.

___________________________ _________________ _________________________

Youth Pastoral Mentor's Signature Date Senior Pastor or Board Chairman's Signature

NORTHWEST BAPTIST SEMINARY ACADEMIC DEAN _____________________________________________

Signature Date

NOTE: A further application will need to be made to ACTS Seminaries for the MA portion of the program subsequent to

completion of the Diploma. Acceptance into YLTP does not automatically imply acceptance into the MA by ACTS.

FOR OFFICE USE ONLY: Application fee $35

DATE RECEIVED: BY:

Student ID # assigned TOTAL

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YLTP Application Northwest Baptist Seminary

Northwest Baptist Seminary

Permission to Disclose Student Information

To enroll a Northwest Baptist Seminary Youth Leadership Training Program

student as a part-time non-degree student at ACTS Seminaries Northwest will need

to forward the following from the student's Northwest academic file to ACTS

Enrolment Services:

1. A photocopy of one of the student's original references

2. A photocopy of the student's personal testimony

3. A photocopy of the student's original academic transcripts from other

institutions

4. An original copy of the student's current registration in the YLTP program at

Northwest

In order to do that Northwest needs the following waiver signed by the student:

Student Name: __________________________________________________

NBS ID#: _______________________________________________________

Address: _______________________________________________________

Phone # : _______________________________________________________

E-mail address: __________________________________________________

I HEREBY GRANT NORTHWEST BAPTIST SEMINARY PERMISSION TO

DISCLOSE MY PERSONAL/ACADEMIC INFORMTATION TO ACTS

SEMINARIES FOR THE PURPOSES OF ENROLING ME AS AN ACTS PART-

TIME STUDENT.

I am at least 18 years of age and I have read and understand the forgoing statement

and am competent to execute this agreement.

______________________ ________________

Student signature Date

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YLTP Application Page 1 Northwest Baptist Seminary

Confidential Personal Reference # 1 Employer/Friend

Applicant

… Mr. … Ms. … Mrs. … Miss Name (last, first, middle) ____________________________________________________________________ Mailing Address ___________________________________________________________________________________________________ City _________________________ Prov/State ________________ Country ____________________ Postal Code/Zip ________________ Home Phone __________________ Work Phone _________________ Fax __________________ E-mail _____________________________

Referee

The person named above has applied to the Youth Leadership Training Program and has submitted your name as a referee. Kindly complete all of the questions to the best of your knowledge.

… Mr. … Ms. … Mrs. … Miss Name (last, first, middle) ________________________________________________________________________ Position_______________________________________________ Company _____________________________________________________ Mailing Address ___________________________________________________________________________________________________ City _________________________ Prov/State ________________ Country ____________________ Postal Code/Zip ________________ Home Phone __________________ Work Phone _________________ Fax __________________ E-mail _____________________________ How long have you known the applicant? ________________________ How well do you know the applicant? … Very well … Well … Casually Describe the context of your relationship with the applicant

Describe the applicant's health

Further comments you may have regarding the applicant

Please complete both sides of this reference form…

(11)

YLTP Application Page 2 Northwest Baptist Seminary

Confidential Personal Reference # 1 Employer/Friend

Check the words or phrases which best describe the applicant

Desire to learn

… Strong Determination … Positive Attitude … Needs encouragement … Shows little interest … No opportunity to observe

Leadership

… Excellent initiative … Good organizer … Leads when asked … Makes little effort … No opportunity to observe

Cooperation

… Works well with others … Usually cooperative … Avoids group activities … Causes friction … No opportunity to observe

Respect for authority

… Always respectful … Generally respectful … Critical … Disrespectful … No opportunity to observe

Concern for others

… Unselfish, caring … Considerate … Indifferent … Self-centered … No opportunity to observe

Acceptance by peers

… Well liked, sought out … Well accepted … Tolerated … Not accepted … No opportunity to observe

Choice of associates

… Very discerning … Somewhat discerning … Questionable discernment … Careless … No opportunity to observe

Emotional stability

… Consistently Stable … Usually well adjusted … Sometimes unstable … Unbalanced, unstable … No opportunity to observe

Energy and initiative

… Seeks additional tasks … Does more than expected … Needs encouragement … Shows little interest … No opportunity to observe

Spiritual motivation and moral integrity

… High … Consistent … Inconsistent … Little spiritual belief … No opportunity to observe

Anticipated achievement in academic studies

… Will excel - (A student) … Better than average … Acceptable … May struggle … No opportunity to observe

Anticipated success in ministry

… Outstanding … Good … Adequate … Unsuitable … No opportunity to observe

Recommendation

… I recommend this applicant … I recommend this applicant with reservation (please attach reasons) … I do not recommend

Signature ___________________________________ Date___________________________

(12)

YLTP Application Page 1 Northwest Baptist Seminary

Confidential Personal Reference # 2 Pastor/Spiritual Advisor

Applicant

… Mr. … Ms. … Mrs. … Miss Name (last, first, middle) ____________________________________________________________________ Mailing Address ___________________________________________________________________________________________________ City _________________________ Prov/State ________________ Country ____________________ Postal Code/Zip ________________ Home Phone __________________ Work Phone _________________ Fax __________________ E-mail _____________________________

Referee

The person named above has applied to the Youth Leadership Training Program and has submitted your name as a referee. Kindly complete all of the questions to the best of your knowledge.

… Mr. … Ms. … Mrs. … Miss Name (last, first, middle) ________________________________________________________________________ Position_______________________________________________ Company _____________________________________________________ Mailing Address ___________________________________________________________________________________________________ City _________________________ Prov/State ________________ Country ____________________ Postal Code/Zip ________________ Home Phone __________________ Work Phone _________________ Fax __________________ E-mail _____________________________ How long have you known the applicant? ________________________ How well do you know the applicant? … Very well … Well … Casually Describe the context of your relationship with the applicant

Describe the applicant's health

Further comments you may have regarding the applicant

Please complete both sides of this reference form…

(13)

YLTP Application Page 2 Northwest Baptist Seminary

Confidential Personal Reference # 2 Pastor/Spiritual Advisor

Check the words or phrases which best describe the applicant

Desire to learn

… Strong Determination … Positive Attitude … Needs encouragement … Shows little interest … No opportunity to observe

Leadership

… Excellent initiative … Good organizer … Leads when asked … Makes little effort … No opportunity to observe

Cooperation

… Works well with others … Usually cooperative … Avoids group activities … Causes friction … No opportunity to observe

Respect for authority

… Always respectful … Generally respectful … Critical … Disrespectful … No opportunity to observe

Concern for others

… Unselfish, caring … Considerate … Indifferent … Self-centered … No opportunity to observe

Acceptance by peers

… Well liked, sought out … Well accepted … Tolerated … Not accepted … No opportunity to observe

Choice of associates

… Very discerning … Somewhat discerning … Questionable discernment … Careless … No opportunity to observe

Emotional stability

… Consistently Stable … Usually well adjusted … Sometimes unstable … Unbalanced, unstable … No opportunity to observe

Energy and initiative

… Seeks additional tasks … Does more than expected … Needs encouragement … Shows little interest … No opportunity to observe

Spiritual motivation and moral integrity

… High … Consistent … Inconsistent … Little spiritual belief … No opportunity to observe

Anticipated achievement in academic studies

… Will excel - (A student) … Better than average … Acceptable … May struggle … No opportunity to observe

Anticipated success in ministry

… Outstanding … Good … Adequate … Unsuitable … No opportunity to observe

Recommendation

… I recommend this applicant … I recommend this applicant with reservation (please attach reasons) … I do not recommend

Signature ___________________________________ Date___________________________

(14)

YLTP Application Page 1 Northwest Baptist Seminary

Confidential Personal Reference # 3 Church Board/Congregation

Applicant

… Mr. … Ms. … Mrs. … Miss Name (last, first, middle) ____________________________________________________________________ Mailing Address ___________________________________________________________________________________________________ City _________________________ Prov/State ________________ Country ____________________ Postal Code/Zip ________________ Home Phone __________________ Work Phone _________________ Fax __________________ E-mail _____________________________

Referee

The person named above has applied to the Youth Leadership Training Program and has submitted your name as a referee. Kindly complete all of the questions to the best of your knowledge.

… Mr. … Ms. … Mrs. … Miss Name (last, first, middle) ________________________________________________________________________ Position_______________________________________________ Company _____________________________________________________ Mailing Address ___________________________________________________________________________________________________ City _________________________ Prov/State ________________ Country ____________________ Postal Code/Zip ________________ Home Phone __________________ Work Phone _________________ Fax __________________ E-mail _____________________________ How long have you known the applicant? ________________________ How well do you know the applicant? … Very well … Well … Casually Describe the context of your relationship with the applicant

Describe the applicant's health

Further comments you may have regarding the applicant

Please complete both sides of this reference form…

(15)

YLTP Application Page 2 Northwest Baptist Seminary

Confidential Personal Reference # 3 Church Board/Congregation

Check the words or phrases which best describe the applicant

Desire to learn

… Strong Determination … Positive Attitude … Needs encouragement … Shows little interest … No opportunity to observe

Leadership

… Excellent initiative … Good organizer … Leads when asked … Makes little effort … No opportunity to observe

Cooperation

… Works well with others … Usually cooperative … Avoids group activities … Causes friction … No opportunity to observe

Respect for authority

… Always respectful … Generally respectful … Critical … Disrespectful … No opportunity to observe

Concern for others

… Unselfish, caring … Considerate … Indifferent … Self-centered … No opportunity to observe

Acceptance by peers

… Well liked, sought out … Well accepted … Tolerated … Not accepted … No opportunity to observe

Choice of associates

… Very discerning … Somewhat discerning … Questionable discernment … Careless … No opportunity to observe

Emotional stability

… Consistently Stable … Usually well adjusted … Sometimes unstable … Unbalanced, unstable … No opportunity to observe

Energy and initiative

… Seeks additional tasks … Does more than expected … Needs encouragement … Shows little interest … No opportunity to observe

Spiritual motivation and moral integrity

… High … Consistent … Inconsistent … Little spiritual belief … No opportunity to observe

Anticipated achievement in academic studies

… Will excel - (A student) … Better than average … Acceptable … May struggle … No opportunity to observe

Anticipated success in ministry

… Outstanding … Good … Adequate … Unsuitable … No opportunity to observe

Recommendation

… I recommend this applicant … I recommend this applicant with reservation (please attach reasons) … I do not recommend

Signature ___________________________________ Date___________________________

(16)

YLTP Application Page 1 Northwest Baptist Seminary

Confidential Personal Reference # 4 Teacher/Professor

Applicant

… Mr. … Ms. … Mrs. … Miss Name (last, first, middle) ____________________________________________________________________ Mailing Address ___________________________________________________________________________________________________ City _________________________ Prov/State ________________ Country ____________________ Postal Code/Zip ________________ Home Phone __________________ Work Phone _________________ Fax __________________ E-mail _____________________________

Referee

The person named above has applied to the Youth Leadership Training Program and has submitted your name as a referee. Kindly complete all of the questions to the best of your knowledge.

… Mr. … Ms. … Mrs. … Miss Name (last, first, middle) ________________________________________________________________________ Position_______________________________________________ Company _____________________________________________________ Mailing Address ___________________________________________________________________________________________________ City _________________________ Prov/State ________________ Country ____________________ Postal Code/Zip ________________ Home Phone __________________ Work Phone _________________ Fax __________________ E-mail _____________________________ How long have you known the applicant? ________________________ How well do you know the applicant? … Very well … Well … Casually Describe the context of your relationship with the applicant

Describe the applicant's health

Further comments you may have regarding the applicant

Please complete both sides of this reference form…

(17)

YLTP Application Page 2 Northwest Baptist Seminary

Confidential Personal Reference # 4 Teacher/Professor

Check the words or phrases which best describe the applicant

Desire to learn

… Strong Determination … Positive Attitude … Needs encouragement … Shows little interest … No opportunity to observe

Leadership

… Excellent initiative … Good organizer … Leads when asked … Makes little effort … No opportunity to observe

Cooperation

… Works well with others … Usually cooperative … Avoids group activities … Causes friction … No opportunity to observe

Respect for authority

… Always respectful … Generally respectful … Critical … Disrespectful … No opportunity to observe

Concern for others

… Unselfish, caring … Considerate … Indifferent … Self-centered … No opportunity to observe

Acceptance by peers

… Well liked, sought out … Well accepted … Tolerated … Not accepted … No opportunity to observe

Choice of associates

… Very discerning … Somewhat discerning … Questionable discernment … Careless … No opportunity to observe

Emotional stability

… Consistently Stable … Usually well adjusted … Sometimes unstable … Unbalanced, unstable … No opportunity to observe

Energy and initiative

… Seeks additional tasks … Does more than expected … Needs encouragement … Shows little interest … No opportunity to observe

Spiritual motivation and moral integrity

… High … Consistent … Inconsistent … Little spiritual belief … No opportunity to observe

Anticipated achievement in academic studies

… Will excel - (A student) … Better than average … Acceptable … May struggle … No opportunity to observe

Anticipated success in ministry

… Outstanding … Good … Adequate … Unsuitable … No opportunity to observe

Recommendation

… I recommend this applicant … I recommend this applicant with reservation (please attach reasons) … I do not recommend

Signature ___________________________________ Date___________________________

References

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