Master Guide Candidate Application Florida Conference of Seventh-day Adventist YOUTH MINISTRIES DEPARTMENT 351 S. State Road 434 Altamonte Springs, FL 32714 (407) 644-5000 Name: ___________________________________________________________/______________________ First Middle Initial Last Maiden Name Address:_________________________________________________________________________________ Street City Age (please circle one) 16-19 State 20-39 40-59 Ok to call Home Telephone: ( ) - Work Telephone: ( ) - Other/Cell: ( ) - Fax: ( ) - Email address: ZIP Best Day 60 + Best Evening @ Church Membership _______________________________________________________________________ City Marital Status _____ Married _____ Single _____ Divorced State Church Name Spouse Name __________________________ #of Children ______ Do you currently or have had in the past any injury or illness which might limit your involvement in Adventurer, Pathfinder, and Adventist Youth Ministries activities? Y / N If yes, please briefly describe: High School: Diploma/G.E.D. Yes / No College Degree: Yes / No Major ________________________ College ________________________________ Please list three personal references; please do not include Church Pastor or Family: __________________________________________________________________________________________ Name Address Phone Relationship __________________________________________________________________________________________ Name Address Phone Relationship __________________________________________________________________________________________ Name Address Phone 1 Relationship Please list all experience in Adventurer, Pathfinders, Youth Activities, AY, Sabbath School, Scouting, and Church Activities: Position/Type of Work Church/Organization Age Group Beg Date Ending Date _______________________ __________________ ________ _______ __________ _______________________ __________________ ________ _______ __________ _______________________ __________________ ________ _______ __________ _______________________ __________________ ________ _______ __________ _______________________ __________________ ________ _______ __________ _______________________ __________________ ________ _______ __________ _______________________ __________________ ________ _______ __________ _______________________ __________________ ________ _______ __________ _______________________ __________________ ________ _______ __________ _______________________ __________________ ________ _______ __________ _______________________ __________________ ________ _______ __________ _______________________ __________________ ________ _______ __________ _______________________ __________________ ________ _______ __________ _______________________ __________________ ________ _______ __________ _______________________ __________________ ________ _______ __________ _______________________ __________________ ________ _______ __________ Have you ever been formally or informally convicted or disciplined for unlawful sexual conduct, child abuse, and/or child sexual abuse? Y / N The above information is accurate to the best of my recollections. I understand this is strictly a volunteer position. I understand my involvement in ministry is subject to a background check and a completing online training through Shield the Vulnerable. / Signed (by Applicant/Candidate) / Date Recommended by Local Church Pastor Yes / No _____________________________________________________ Signed (Local Church Pastor) Church Board Chairperson _______________________________________________________________ Signed (Church Board Chairperson) 2 . Master Guide Registration Form Florida Conference of Seventh-day Adventist YOUTH MINISTRIES DEPARTMENT 351 S. State Road 434 Altamonte Springs, FL 32714 (407) 644-5000 Name: ___________________________________________________________/______________________ First Middle Initial Last Maiden Name Address:_________________________________________________________________________________ Street City Age (please circle one) 16-19 State 20-39 40-59 Ok to call Home Telephone: ( ) - Work Telephone: ( ) - Other/Cell: ( ) - Fax: ( ) - Email address: ZIP 60 + Best Day Best Evening @ Date Inducted in Florida Master Guide Program ____________________ Place ____________________ Please place an X beside each honor you have earned and are prepared to teach on honor listing on reverse side. Please mark the Levels Completed: Adventurer e-Tracker ___Little Lamb ___Friend ___Eager Beaver ___Companion ___Busy Bee ___Explorer ___Sunbeam ___Ranger ___Builder ___Helping Hand Varsity ___Voyager ___Guide ___Pioneer ___Navigator Master Guide ___MG ___PLA ___PIA Year __________ __________ __________ I would like to offer my assistance and support in the following areas: The above information is accurate to the best of my recollections. / Signed Date 3 / _____ Accounting _____ Adventurer for Christ _____ Agriculture _____ Airplane Modeling _____ Amphibians _____ Animal Tracking _____ Archery _____ Automobile Mechanics _____ Backpacking _____ Baking _____ Barbering/ Hairstyling _____ Basic Rescue _____ Basic Sewing _____ Basketball _____ Basketry _____ Beekeeping _____ Bible Evangelism _____ Bird Pets _____ Birds _____ Block Printing _____ Blood and the Body's Defenses _____ Bones Muscles and Movement _____ Bookbinding _____ Bookkeeping _____ Braiding _____ Brain and Behavior _____ Bread Dough _____ Cacti _____ Cake Decorating _____ Camp Craft _____ Camping Skills _____ Candlemaking _____ Canoeing _____ Carpentry _____ Cats _____ Cattle Husbandry _____ Caving _____ Ceramics _____ Chemistry _____ Christian Citizenship _____ Christian Grooming and Manners _____ Christian Sales Principles _____ Christian Storytelling _____ Communications _____ Community Water Safety _____ Computer _____ Cooking _____ Copper Enameling _____ Counted Cross Stitch _____ CPR _____ Crocheting _____ Cultural Diversity Appreciation _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ Currency (Coins) Cycling Dairying Decoupage Digestion Dog Care and Training Dogs Drawing and Painting Dressmaking Drill and Marching Ecology Edible Wild Plants Electricity Environmental Conservation Family Life Felt Craft Ferns Fire Building and Camp Cookery First Aid Fishes Flower Arrangement Flower Culture Flowers Food - Canning Food - Drying Food - Freezing Fossils Fruit Growing Fungi Gardening Geology Glass Craft Glass Etching Glass Painting Goat Husbandry Grasses Health & Healing Hiking Home Nursing Horse Husbandry Horsemanship House PaintingExterior House Paintinginterior House Plants Housekeeping Indian Lore Insects Journalism Junior Witness Junior Youth Leadership Kites Knitting Knot Tying Language Study Lapidary Laundering _____ Leather Craft _____ Lettering and Poster making _____ Lichens Liverworts and Mosses _____ Literature Evangelism _____ Livestock _____ Macramé _____ Mammals _____ Maple Sugar _____ Marine Algae _____ Marine Invertebrates _____ Marine Mammals _____ Masonry _____ Metal Craft _____ Microscopic Life _____ Model Boats _____ Model Cars _____ Model Railroading _____ Model Rocketry _____ Moths and Butterflies _____ Mountain Biking _____ Music _____ Navigation _____ Needle Craft _____ Nutrition _____ Optics _____ Orchids _____ Orienteering _____ Origami _____ Outdoor Leadership _____ Paperhanging _____ Personal Evangelism _____ Photography _____ Physical Fitness _____ Physics _____ Pigeon Raising _____ Pinewood Derby _____ Pioneering _____ Plaster Craft _____ Plastics _____ Plumbing _____ Pottery _____ Poultry _____ Poultry Raising _____ Power Boating _____ Printing _____ Quilting _____ Radio _____ Radio Electronics _____ Red Alert _____ Reptiles _____ Rock Climbing _____ Rocks and Minerals _____ Rowing _____ Sailing _____ Sand _____ Scuba Diving _____ Sculpturing _____ Seeds 4 _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ Sheep Husbandry Shells Shoe Repair Shorthand Shrubs Sign Language Silk Screen Printing Silk Screen Printings Advanced Skiing Crosscountry Skiing Downhill Skin Diving Small Engines Small Fruit Growing Small Mammal Pets Soap Craft Soccer Spiders Springboard Diving Stamps Stars Stewardship String Art Swimming Tailoring Teaching Temperance Textile Painting Track and Field Trees Tumbling and Balancing Typewriting Water Skiing Weather Weaving Welding Wilderness Leadership Wilderness Living Windsurfing Winter Camping Wood Carving Wood Handicraft Woodworking _______________________ _______________________ _______________________ _______________________ _______________________ _______________________ _______________________ _______________________ _______________________ Master Guide Investiture Application Florida Conference of Seventh-day Adventist YOUTH MINISTRIES DEPARTMENT 351 S. State Road 434 Altamonte Springs, FL 32714 (407) 644-5000 Name: _________________________________________________________/______________________ First Middle Initial Last Maiden Name Address:_________________________________________________________________________________ Street City Age (please circle one) 16-19 State 20-39 Ok to call Home Telephone: ( ) - Work Telephone: ( ) - Other/Cell: ( ) - Fax: ( ) - Email address: 40-59 Best Day ZIP 60 + Best Evening @ Date Inducted In Florida Master Guide Program____________ Place ____________________________ Please place an X beside each honor you have earned on honor listing on reverse side. Please circle each honor you taught in fulfillment of Florida Master Guide Requirement V. B. 2. Please attach your goals in fulfillment of Florida Master Guide Requirement V. E. Please attach a copy of both sides of your completed Master Guide Card. Master Guide most knowledgeable of your progress through the Florida Master Guide Curriculum __________________________________________________________________________________________ Name Address Desired Investiture Date__________________ Telephone Place____________________________________ The above information is accurate to the best of my recollections. / Signed / Date 5 . _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ Accounting Adventurer for Christ Agriculture Airplane Modeling Amphibians Animal Tracking Archery Automobile Mechanics Backpacking Baking Barbering/ Hairstyling Basic Rescue Basic Sewing Basketball Basketry Beekeeping Bible Evangelism Bird Pets Birds Block Printing Blood and the Body's Defenses Bones Muscles and Movement Bookbinding Bookkeeping Braiding Brain and Behavior Bread Dough Cacti Cake Decorating Camp Craft Camping Skills Candlemaking Canoeing Carpentry Cats Cattle Husbandry Caving Ceramics Chemistry Christian Citizenship Christian Grooming and Manners Christian Sales Principles Christian Storytelling Communications Community Water Safety Computer Cooking Copper Enameling Counted Cross Stitch CPR Crocheting Cultural Diversity Appreciation Currency (Coins) Cycling Dairying Decoupage Digestion Dog Care and Training _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ Dogs Drawing and Painting Dressmaking Drill and Marching Ecology Edible Wild Plants Electricity Environmental Conservation Family Life Felt Craft Ferns Fire Building and Camp Cookery First Aid Fishes Flower Arrangement Flower Culture Flowers Food - Canning Food - Drying Food - Freezing Fossils Fruit Growing Fungi Gardening Geology Glass Craft Glass Etching Glass Painting Goat Husbandry Grasses Health & Healing Hiking Home Nursing Horse Husbandry Horsemanship House Painting-Exterior House Painting-interior House Plants Housekeeping Indian Lore Insects Journalism Junior Witness Junior Youth Leadership Kites Knitting Knot Tying Language Study Lapidary Laundering Leather Craft Lettering and Poster making Lichens Liverworts and Mosses Literature Evangelism Livestock Macramé Mammals Maple Sugar _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ Marine Algae Marine Invertebrates Marine Mammals Masonry Metal Craft Microscopic Life Model Boats Model Cars Model Railroading Model Rocketry Moths and Butterflies Mountain Biking Music Navigation Needle Craft Nutrition Optics Orchids Orienteering Origami Outdoor Leadership Paperhanging Personal Evangelism Photography Physical Fitness Physics Pigeon Raising Pinewood Derby Pioneering Plaster Craft Plastics Plumbing Pottery Poultry Poultry Raising Power Boating Printing Quilting Radio Radio Electronics Red Alert Reptiles Rock Climbing Rocks and Minerals Rowing Sailing Sand Scuba Diving Sculpturing Seeds Sheep Husbandry Shells Shoe Repair Shorthand Shrubs Sign Language Silk Screen Printing Silk Screen Printings Advanced _____ Skiing Cross-country _____ Skiing Downhill _____ Skin Diving 6 _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ Small Engines Small Fruit Growing Small Mammal Pets Soap Craft Soccer Spiders Springboard Diving Stamps Stars Stewardship String Art Swimming Tailoring Teaching Temperance Textile Painting Track and Field Trees Tumbling and Balancing Typewriting Water Skiing Weather Weaving Welding Wilderness Leadership Wilderness Living Windsurfing Winter Camping Wood Carving Wood Handicraft Woodworking ____________________________ ____________________________ ____________________________ ____________________________ ____________________________ ____________________________ ____________________________ ____________________________ ____________________________ ____________________________ ____________________________ ____________________________
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