Admission Application (All students grades 9-12)

Warrior Servant Leadership Program Application Packet
2013/2014
“...whoever wants to become great among you must be your
servant, and whoever wants to be first must be your slave — just as
the Son of Man did not come to be served, but to serve, and to give
his life as a ransom for many.” Matthew 20:26-28
Admission Application (All students grades 9-12)
Applicant Information
_______________________________________________________________________
Name (Last, First, M) Home Phone
_______________________________________________________________________
Street Address City, State, Zip
_______________________________________________________________________
Parent Email Student Email
_______________________________________________________________________
Current Grade Years at School
Applicant Type
o
New Applicant (all 9th grade students and students who have not participated in WSL grades 912)
o
Returning Applicant
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Please complete the Application for Admission and Commitment Code.
ADMISSION APPLICATION—NEW APPLICANTS
ONLY
Personal Statements (New Applicants Only)
Essay A — Describe your salvation experience (when, where, etc.)
Essay B — If your friends were interviewed, based on I Timothy 4:12, how would they rate you in each of
the categories listed in the verse and why?
Essay C — Please list your most important extracurricular activities or clubs and state why you are
involved in them.
“...whoever wants to become great among you must be your servant, and whoever wants to be first
must be your slave — just as the Son of Man did not come to be served, but to serve, and to give his life
as a ransom for many.”
Matthew 20:26-28
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Warrior Servant Leadership Program
Commitment Form
The WSL Program is more than an opportunity for students to
serve, but an attitude and commitment for the community of
administrative staff, teachers, support staff, and students of Metrolina to follow the commands of
the scripture and the model of Christ seen in Matthew 20:26-28. The WSL Program is a school
wide pledge to create more opportunities for service and leadership in an effort to cultivate a
lifestyle of service. The WSL Program is an investment of the heart with a single minded
purpose to serve, which is part of our Biblical responsibilities as we care for others and our
community.
The WSL Program is open to all high school students. Any student interested in the
program must sign the WSL Program statement of commitment, complete and submit the
application, as well as participate in service and leadership opportunities that meet the
requirements listed in the chart below. Participants must also attend monthly meetings which will
be centered on the theme of servant leadership and will include reading and discussion of the
required book, The Leadership secrets of Billy Graham by Harold Myra and Marshall Shelley.
October 11, 2013 is the deadline for submission of the online application and signed statement of
commitment form.
12th graders – 40 hours* of service from 3 venues
11th graders – 40 hours* of service from 3 venues
10th graders – 30 hours* of service from 2 venues
9th graders – 24 hours* of service from 2 venues
*this includes requires Bible Service hours
**Students will be eligible for Highest Honors is they complete a total of 160 hours of
service in high school.
In an effort to ensure accountability for all students who have committed to the WSL
Program, students are required to submit completed service forms online according to the
following schedule –
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December 1st for all activities completed between June 1st – November 30th
March 1st for all activities completed between December 1st – February 28th
June 1st for all activities completed between March 1st – May 31st
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The student who completes the WSL Program will receive recognition at graduation as well
as qualify for the WSL Scholarship. There are plans for off-campus retreats and conferences for
students committed to the WSL Program.
Signatures
I, the Applicant of WSL, attest that all the information provided here is true to the best of my
knowledge.
I, the parent of the WSL Applicant, understand that there is a commitment for my son/daughter to
participate in the Warrior Servant Leadership Program.
____________________________________________________
Applicant Signature
_________________
Date
____________________________________________________
Parent Signature
_________________
Date
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RECOMMENDATION FORM– to be completed for new
applicants only
We are interested in students who are already demonstrating a love for
Jesus Christ in their lifestyle and are active in their peer groups and local church. With this in mind, we
appreciate your honest evaluation of the Applicant, including any positive remarks or reservations. We
appreciate your time and effort.
Applicant Information
______________________________________________
Name (Last, First, M)
________________________
Date of Birth (mm/dd/yyyy)
This section should be completed by the Applicant’s youth pastor or school instructor. All responses will remain
confidential. Feel free to attach additional paper for your responses as necessary. Please sign, seal, and return to
school office.
Recommender Information
Name:______________________
Company/Organization:__________________________
Relationship to Applicant:____________________________________________________
Applicant Evaluation
The Warrior Servant Leadership program seeks students who consistently demonstrate I Timothy 4:12
traits. Does the Applicant consistently honor Christ in his/her speech, conduct, love, faith, and purity?
The WSL program requires a very high level of commitment. Please evaluate the Applicant’s level of
commitment.
I (recommend strongly /recommend with some reservation/do not recommend) the Applicant to
participate in Student Leadership Institute.
_______________________________________________
Recommender Signature
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Date