SERVE 2022
Connor Diocese are running the SERVE Programme again in 2022!
The course is for young people aged 15 to 19 and prepares young people who are exploring leadership in their local parish context. It is a great opportunity to meet new people and develop character traits which are invaluable in leadership.

SERVE will include 8 sessions and a Graduation event. It will be begin on Thursday 29th September. Each session will run from 6pm - 9pm in The Hub Chaplaincy, Elmwood Avenue, Belfast. The dates for all sessions are: 29th September, 6th, 13th, 20th and 27th October, 10th, 17th and 24th November. Participants are encouraged to attend all sessions and there is some preparatory work for each session.

To participate in SERVE, it costs £50 per participant, to cover dinner each week, handbook, sweatshirt as well as graduation ceremony and certificate. Participants can apply to the CIYD Young Leaders Fund for support with the cost.

The SERVE Graduation will take place on Thursday 1st December from 7.30pm for participants to attend with friends, family, leaders and clergy.
Sign in to Google to save your progress. Learn more
Name *
Age *
Date of Birth *
MM
/
DD
/
YYYY
Address and Postcode *
Phone Number *
Email *
Parish *
Describe your relationship with God? How are you involved in your church? What things do you do to keep your relationship with God growing? *
Describe Yourself: Are you quiet or like to talk, what things do you like to do, your favourite subjects, films, sport…? *
Leadership Experience: Where have you had the opportunity to lead, maybe it is in a sports team, or leading a discussion in class or maybe taking a lead with your friends on somewhere to go or something to do… what was good, what was difficult? *
What leaders have influenced you? How? *
Medical and Dietary Information (To be completed by Parent/Guardian if under 18) Please supply any medical information about you that we should be aware of (allergies, asthma, diabetes, epilepsy etc): *
If over 18, please provide details of next of kin, Name:
If over 18, please provide details of next of kin, Mobile number:
Doctor Name:
Doctor's Address
Doctor's Mobile Number
REFEREES: Please provide details of two people who would be willing to provide a reference for you. Please ensure you ask permission before you put their name down and one referee must be your minister or church leader.
Referee's Name #1 *
Referee's Position *
Referee's Email Address *
Referee's Number: *
Referee's Name #2 *
Referee's Email Address *
Referee's Number: *
COMMITMENT. I understand that participation on this course means that: I will ensure that I can attend the 8 weekly sessions in The Hub, Belfast. I will commit to reading the recommended book. I agree to participate fully in all the activities, discussion and learning, and beyond that to focus on relationship building with the other participants. *
PARENTAL CONSENT IF UNDER 18. I confirm that I have given my consent for my son/daughter to participate on the SERVE Developing leaders course. In the event of my son/daughter being taken ill or injured during the period of the event so that a surgical operation or serum injection becomes necessary, I hereby authorise the leader in charge to sign on my behalf any written form of consent required, provided that the delay necessitated to obtain my permission might endanger my son’s/ daughter’s health or safety. I also give permission for my child to receive necessary first aid or treatment deemed necessary.
Clear selection
I permit my image/my child’s image to be taken and used in Diocesan promotion, online, printed and on social media. *
Signed by Parent/Guardian (By writing your name here, you are giving consent for your child to take part in SERVE and that all information above is correct)
Parent/Guardian Name and Mobile number:
Parent/Guardian Email Address:
By confirming below, you are agreeing to consent to Connor Diocese holding and processing your personal data for the purposes of contacting you about SERVE, planning and administration for the event. *
For more information regarding SERVE contact the Diocesan Youth Officer, Christina Baillie on 07753312405. On receipt of your application we will write back to you to confirm your position on SERVE and with further details regarding the course. Closing date for applications is Sunday 25th September.
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy