HARVEST SCHOOL EUROPE
SCHOOL OF LEADERSHIP AND MISSION
APPLICATION FORM
SEPTEMBER 2016
HARVEST SCHOOL EUROPE
SCHOOL OF LEADERSHIP AND MISSION
SECTION 1:
PERSONAL INFORMATION
Name:
Date of Birth:
DD
Gender:
Male
MM
YYYY
Age:
Female
Address:
County/Region:
Postal Code:
Primary Telephone Number:
Email:
Passport Number (Foreign applicants only)
Place of Birth (Foreign applicants only) Address:
City:
Region/State/Province:
Country:
Single
Engaged
Married
Remarried
Separated
Widowed
Divorced
Spouse's name:
Names and ages of your children:
(on a separate piece of paper, please give a brief summary of the circumstances, if you have been
separated, divorced, remarried, widowed or engaged)
HARVEST SCHOOL EUROPE
SCHOOL OF LEADERSHIP AND MISSION
SECTION 2:
BACKGROUND
Please type your answers to the following questions. Answer in detail.
We realize that the following questions are very personal. Please be assured that all answers
will be read only by Harvest School leadership and will be held in strict confidence.
SPIRITUAL
1.
Outline your conversion/acceptance of Christ and the events and steps leading up
to that time.
2.
Describe your spiritual growth since that time.
3.
Have you been baptized in the Holy Spirit? If yes, how do you know you were
baptized in the Spirit?
4.
Are you meeting your expectations for personal spiritual growth?
5.
Do you attend church regularly? How long have you been attending there?
(Include name of church and contact details)
6.
Briefly describe your relationship with your local church. If you aren’t involved in a
church, please explain why.
7.
Have you recently left another church? If yes, please include explanation for leaving.
RELATIONSHIPS AND FAMILY
1.
Please describe your relationship with your mother in detail.
2.
Please describe your relationship with your father in detail.
3.
Describe your relationship with the rest of your family including your spouse if you
are married.
4.
How does your family feel about your intentions to attend the School?
HARVEST SCHOOL EUROPE
SCHOOL OF LEADERSHIP AND MISSION
LIFESTYLE
1.
Have you used any of the following substances? If so, please explain how recently
and in what quantities and what you have done to overcome any addictions.
A.
B.
C.
D.
alcoholic beverages,
tobacco,
"soft drugs" (e.g. marijuana)
"hard drugs" (cocaine, heroin, chemicals)
2.
Describe any struggles with depression, mental instability, self harm, suicide etc.
3.
List any eating disorders you have.
4.
List any compulsive behaviours you have.
5.
List any occult or cult practices you have been involved in or exposed to.
(Satanism, Witchcraft, New Age, Other Religions etc)
6.
List any heterosexual sin, including pornography or any sexual activity in your life.
7.
List any homosexual activity or same sex attraction in your life.
8.
List any other addictions you have.
(gambling, food, shopping, sex, etc)
9.
Please give a summary of any history of abuse.
(verbal, physical, emotional, spiritual or sexual)
HEALTH
1.
List any medication you are currently taking.
2.
List any allergies or specific dietary requirements you have.
3.
List any physical disabilities or limitations you have.
4.
Do you have any other comments about your health you would like to mention?
CRIMINAL HISTORY
1.
Have you ever been arrested?
2.
Do you have a criminal record?
HARVEST SCHOOL EUROPE
SCHOOL OF LEADERSHIP AND MISSION
POLICE REFERENCE CHECK
During the school program, you may do activities which involve working with children
/youth / vulnerable adults (e.g. community outreaches, or pastoral training). Because of this,
we need you to obtain a certain level of Police Reference Check.
Please include an official Vulnerable Sector Screening Police Check (normally available at a
nominal fee from your local police station). All students must a current and official Police
Reference Check with Vulnerable Sector Screening (or equivalent) in order to attend
Harvest School Europe. The results of the police record will NOT automatically disqualify
you from attending Harvest School Europe.
The Police Reference Check with Vulnerable Sector Screening must be:
•
An original document date stamped, and embossed (where applicable), obtained
within three months of the start of the school term,
•
Country-wide, that is, it must be run through the national database.
The references that you provide will also be used as part of the Well Church’s Vulnerable
Sector Screening process for working with children or vulnerable adults. All Staff,
volunteers and students at The Well Church participate in this process. If you are happy for
these references to be used for the screening, please indicate here:
I/We agree that the references submitted with my application can be used for the screening
process.
Applicant, Parent or Guardian Signature: ___________________ Date: ________
Signature of parent or guardian, if applicant is under 18 years of age.
HARVEST SCHOOL EUROPE
SCHOOL OF LEADERSHIP AND MISSION
SECTION 3:
PURPOSE AND VISION
GOALS AND EXPECTATIONS
1.
Comment briefly on the circumstances that led up to your decision to
apply for this school.
2.
What are your reasons for wanting to attend this school?
(Include spiritual and ministry goals which you hope the school will help you achieve)
3.
What are your plans and dreams following the school?
4.
Are you interested in an Internship or further training with us after the school?
MINISTRY
1.
What do you believe your spiritual gifts are?
2.
What are you passionate about?
(Regarding ministry, missions and church)
3.
Do you have any special skills or training?
4.
Do you have a particular City, Region or Nation you believe God is calling you to?
5.
Are you interested in an internship or further training with us after the school?
HARVEST SCHOOL EUROPE
SCHOOL OF LEADERSHIP AND MISSION
SECTION 4:
RELEASES & AGREEMENTS
Release of Liability
I do hereby release Harvest School Europe and The Well Church, its staff agents and
volunteer assistants from any liability whatsoever arising out of any injury, damage or loss
sustained by said persons during the course of involvement with Harvest School Europe
and The Well Church.
Applicant Signature: ___________________ Date: ________
Consent For Treatment
In case of emergency, I hereby agree to the performance of such treatment, including
anesthesia and surgery, or any other treatment that an attending doctor or physician may
deem necessary. I/We agree to meet any and all medical expenses that are incurred during
the course of involvement with Harvest School Europe and The Well Church.
Applicant Signature: ___________________ Date: ________
Financial Responsibility
I understand that the payment of the required school tuition fees must be made in British
Pound Sterling or Euro prior to or upon my arrival. Payment must be made in full. Further, I
agree to meet in a timely manner, prior to the completion of school, all personal expenses
incurred during my involvement with the Harvest School Europe and The Well Church. I/we
understand that graduation from the School of Leadership & Mission is not granted until all
outstanding payments have been received.
Applicant Signature: ___________________ Date: ________
HARVEST SCHOOL EUROPE
SCHOOL OF LEADERSHIP AND MISSION
Publicity Agreement
I agree that Harvest School Europe and The Well Church can contact us regarding any
other related events and programs offered by Harvest School Europe, The Well Church,
Partners in Harvest or Iris Global.
Applicant Signature: ___________________ Date: ________
Agreement to abide by School Guidelines & Structure
If I am accepted I, ______________________________________, will abide by the rules,
commitments and schedules of the school including:
1. All book reports, assignments, assessments and exams. 2. Arriving at all school functions and commitments on time. 3. Practical help around the school and church. 4. All training sessions, classes & workshops that are a designated part of my course of
study.
5. Personal development of my gifting and talents as related to my course of study. 6. All ministry & outreach opportunities I am required to participate in.
7. Living according to the rules and standards of Harvest School Europe.
Applicants Signature: __________________________________ Date: _________ I certify that all the information in this application is complete and accurate. HARVEST SCHOOL EUROPE
SCHOOL OF LEADERSHIP AND MISSION
SECTION 5:
REFERENCES
We require TWO reference form from a Friend, Co-Worker, or peer, and ONE reference
from your pastor.
Your application will NOT be processed until we receive all your reference forms. Please ensure
that all your references complete and send them into our office as soon as possible.
Please do not hesitate to contact us if you need clarification.
Reference - Friend / Co-worker
Please list the people to whom you gave your reference forms.
1. Name
Email Address
2. Name
Email Address
Pastoral Reference
Enclosed is a reference form for you to give to your pastor. We want to invite his/her
counsel and input with regards to your application.
Home Church
Denomination
Pastor's Name
Address
Phone
How long have you attended this church?
How would you describe your relationship with your pastor?
HARVEST SCHOOL EUROPE
SCHOOL OF LEADERSHIP AND MISSION
FRIEND / CO-WORKER Reference Form (Confidential)
Name of Applicant
The above applicant has applied to attend a leadership training program with Harvest
School Europe. Please supply the information requested on this form, in order to aid us in
evaluating the applicant's suitability for admission.
Your name
Address
Phone
Occupation
1) What is your relationship to the applicant?
2) How many years have you known the applicant?
3) What do you perceive to be the applicant's best qualities?
4) What do you perceive to be the applicant's greatest weakness (es)?
5) How do you think Harvest School Europe will aid the applicant’s development?
6) What ministry or spiritual gifts have you seen in operation with the
applicant?
7) Do you have any reservations about the applicant attending Harvest School Europe?
HARVEST SCHOOL EUROPE
SCHOOL OF LEADERSHIP AND MISSION
8) Do you know of any incidents or examples in which the applicant compromised his or her
Christian faith or moral integrity? If so, please explain, including how it was resolved.
9) Please rate the applicant's ability to get along with his or her peers:
Outstanding
Excellent
Good
Fair
Poor
10) Please rate the applicant's ability to relate to authority:
Outstanding
Excellent
Good
Fair
Poor
11) Please rate the applicant's ability to relate to
unbelievers:
Outstanding
Excellent
Good
Fair
Poor
12) Please rate the applicant's leadership skills:
Outstanding
Excellent
Good
Fair
Poor
13) Please rate the applicant's ability to overcome adversity:
Outstanding
Excellent
Good
Fair
Poor
Signature
Date
PLEASE DO NOT RETURN THIS FORM TO THE APPLICANT, instead submit to
Email:
[email protected]
or
Mail:
Harvest School EU
Ansdell Road North
Lytham St Annes
FY84EZ
United Kingdom
HARVEST SCHOOL EUROPE
SCHOOL OF LEADERSHIP AND MISSION
PASTOR Reference Form (Confidential)
Name of Applicant:
Please supply the information requested on this form, in order to aid us in evaluating the
applicant's suitability for admission.
Pastor's Name
Home Church
Denomination
Address
Phone
Fax
1) How long have you known the applicant?
2) What is your position in the church?
Pastor Elder
3) How well do you know the applicant? Very well
Other:
Well
Casually
4) Were you aware of the applicant's intention to participate in Harvest School Europe prior
to receiving this form?
Yes No
(comments)
5) Are you happy with his/her intentions?
6) In what activities has the applicant participated since attending your church?
7) Has he/she shown effectiveness in these activities?
8) Upon your observation, do you see the applicant as financially responsible?
Yes
No
Unsure (comments)
9) In your association with the applicant, what has been the level of commitment you have
seen?
Faithful
Inconsistent
Other (comments)
HARVEST SCHOOL EUROPE
SCHOOL OF LEADERSHIP AND MISSION
10) This is an evaluation of the applicant's overall characteristics.
Please tick one for each category.
Responsiveness to others
Leadership Ability
slow to sense how others feel
leads naturally
unusually sensitive
tries but lacks ability
reasonably responsive
has some leadership promise
understanding and thoughtful
makes no effort to lead
Physical Condition
Willingness to serve
excellent health
eager to serve as needed
average health
co-operative when asked
frequently ill
reluctant to serve
Intelligence
Teamwork
excellent intellectual capacity
works well with others
average mental ability
reasonably cooperative
learns and thinks slowly
insists on having own way
HARVEST SCHOOL EUROPE
SCHOOL OF LEADERSHIP AND MISSION
PASTOR'S Reference Form (Confidential)
Relationships
Achievement
sought out by others
takes initiative
liked by others
meets average expectation
tolerated by others
starts but does not finish
Christian experience
Ability to follow
mild but genuine
responsive
relatively superficial
follows blindly
rich and growing
cooperative
over emotional
resistant to direction
How does the applicant usually
react to trying situations?
Evaluation of applicant’s emotional
maturity
withdraws
outstandingly mature
gets discouraged
gets angry
meets constructively
accepts patiently
other (explain)……
has a proven ability to operate under
stress and pressure
more mature and emotionally stable than
average
possesses adequate emotional stability
and maturity
experience has shown that the applicant
might not be able to handle trials
other (explain)……
HARVEST SCHOOL EUROPE
SCHOOL OF LEADERSHIP AND MISSION
PASTOR'S Reference Form (Confidential)
11) Please comment on areas of weakness you might be aware of.
12) To your knowledge, has the applicant ever been arrested for any offense?
Yes
No
If yes, please explain:
13) Has the applicant proven on any occasion to be unreliable, dishonest, or of
questionable character?
Yes
No
If yes, please explain:
14) Please comment on the family background.
15) Overall, what do you consider to be the applicant’s strong points? (Include special
abilities)
16) What could the Harvest School Europe do to aid the applicant's development?
17) Do you recommend this person for admission to this training program?
To the best of my knowledge the above information is correct and I believe that he/she
possesses the qualities indicated above.
Signature
Date
Please DO NOT RETURN TO APPLICANT
Submit to:
Email:
[email protected]
Mail:
Harvest School EU
Ansdell Road North
Lytham St Annes
FY84EZ
United Kingdom
HARVEST SCHOOL EUROPE
SCHOOL OF LEADERSHIP AND MISSION
www.harvestschool.eu
[email protected]
(+44)1253 739043