SERVE 2023
Connor Diocese are running the SERVE Programme in 2023!
The course is for young people and young adults aged 15 to 20 and prepares those 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. It will equip young people and young adults to serve in their home Parishes with confidence and enthusiasm.

SERVE will include 8 sessions and a Graduation event. It will be begin on Thursday 28th September. 
Each session will run from 6pm - 9pm in The Hub Chaplaincy, Elmwood Avenue, Belfast. 
The dates for all sessions are: 28th September, 5th October, 12th October, 19th October,  9th November, 16th November, 23rd November, 30th November. There will be a graduation for participants to attend with friends, family, leaders and clergy. Participants are asked 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, a handbook, a sweatshirt as well as graduation ceremony and certificate. Participants can apply to the CIYD Young Leaders Fund for support with the cost.

The closing date for applications is Sunday 17th September 2023.
If you have any questions about the SERVE course, please contact Christina Baillie on christinabaillie@connordiocese.org

Sign in to Google to save your progress. Learn more
Name *
Age *
Date of Birth *
MM
/
DD
/
YYYY
Address and Postcode *
The SERVE organisers wish to use social/digital media to contact your son/daughter (if 13 or over) or you (18 or over) to inform him/her about the ongoing activities and special events of the group. This will be done following the Church of Ireland Safeguarding Policy which is available here: https://www.ireland.anglican.org/about/safeguarding/ni-child-safeguarding
Therefore, I give permission for SERVE leaders to contact my young person / me as an over 18 - directly via a WhatsApp group with the other participants of SERVE. *
Required
Mobile Phone Number - if permission given above *
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: Please supply any medical information and dietary requirements about you that we should be aware of: *
Name of Emergency Contact and Relationship to you: *
Emergency Contact 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 / Connection to you *
Referee's Email Address *
Referee's Number: *
Referee's Name #2 *
Referee's Position / Connection to you *
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 for under 18's - 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 christinabaillie@connordiocese.org. 
On receipt of your application, we will write to you to confirm your position on SERVE and with further details regarding the course. 
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
Google Forms