I@C Facilitator Application

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Help us to get to know you a bit!

Are you a new or returning applicant *

New

Returning

Returning after a year or more away

PERSONAL DETAILS

Full Name *

Preferred name *

Preferred pronoun *

Best email to reach you? *

Best phone number to get in contact with you? *

Date of Birth (mm/dd/yyyy) *

YYYY

Any allergies or dietary restrictions? If yes, please list below *

In case of an emergency during training or our programme:a) Who is the best emergency contact, b) their relationship to you, and, c) best way to reach them? *

Programme Information

Will you be available for the Facilitator Training facilitator training weekend ? April 26-28, 2019 *

Yes

Will you be available for the entirety of the regional meeting / I@C weekend, MAY 23- 26, 2019? *

Yes

Will you be able to provide an up to date criminal records check by the facilitator training day? *

Yes

What is your home church? (name, town/area/ province) *

What calls you to this ministry? *

What are some gifts and talents you bring with you to this ministry team? *

Do you have a preferred age group/level you would like to work with? *

Grade 7

Grade 8

Grade 9

any

What is your T- Shirt Size *

XXL

Other:

First time facilitator section

Please complete if this is your first time with I@C

Do you have any experience working with youth? If yes, please specify

IAC is a faith based programme. How are you involved in your church community and are you comfortable leading youth in faith activities?

Its the second day of the programme and a youth in your home group is upset during your morning check in as they are homesick. What might you and your co-facilitator do?

Please provide two references along with contact information

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This form was created inside of Spring Park United Church.