DISTRICT ACHIEVEMENT AWARD APPLICATION

Church name: ______

Please note: You must participate in one [1] more than 50% in each category. Items with an asterisk [*] are required items and DO count towards the 50%. PLEASE CHECK ALL ITEMS THAT APPLY.

GLOBAL/REGIONAL GOALS [2 of 3 necessary]

1. ______*Contribution to “J-Fang- [money sent to District NYI

Treasurer, (Note: “Nazarene Day at Kennywood” participants contribute)

2. ______Involvement in Blast at MVNU

3. ______Involvement in NYC [Nazarene Youth Conference] or “One Heart Many Hands”

[at Global Convention] or Participation in Global/Regional Leadership Training or

Involvement in summers missions trip [Youth in Mission, Youth Serve, MVNU trip,

Regional Missions trip, Encuentro Mission Trip,etc.]

DISTRICT/ZONE GOALS [10 0F 18 necessary]:

1. ______*Payment District Unified Budget [NYI Budget is included in this Budget]

2. ______*NYI Achievement Award Application completed and postmarked by AUG 6, 2016

[mail to District NYI Secretary, Lisa Jones OR email]

3. ______Official Local NYI Roster has been given (or included with this form)to Lisa Jones

4.______Participation in District Missions [Off District and On District projects]

5. ______Participation in previous year’s NYI Convention

6. ______Participation in Singspiration

7. ______Participation on the District Devotion Team

8. ______Attendance at Devotion Tour service

9. ______Participation in District Bible Quizzing Events

10. ______Participation in Youth and Missions Retreat

11. ______Participation in District Blast Sports Tournament

12. ______Participation in District Teen Talent

13. ______Participation in District Senior High Camp

14. ______Participation in Middle School Camp (formally Junior High Camp)

15. ______Participation in College and Career Event or Retreat

16. ______Participation in Zone Events [Rallies, Youth Emphasis Week, Revivals or other

Zone Events

LOCAL GOALS [6 of 10] :

1. ______*Organized and functioning NYI, including, as a minimum, bi-weekly [2/month]

Youth meetings other than Sunday School, with scripture/devotional focus

2. ______Maintaining an up-to-date NYI Roster

3. ______Sponsor/Host a Youth Revival

4. ______Sponsor/Host Youth Week Emphasis/Events

5. ______Sponsor/Host a Spiritual Retreat

6. ______Participation in Local Outreach Ministry [nursing home, food pantry, soup kitchen,

etc.], please specify:

______

______

7. ______Participation in Local Missions Emphasis [monthly missions studies, reading

Missionary books, missions education, etc.], please specify:

______

______

8. ______Involvement in or support of a local/zone missions project [work & witness,

home missions, etc.], please specify:

______

______

9. ______Active Teen Discipleship Program [organized adult or peer mentoring,

discipleship class/study, etc.]

10. ______Recreational activities for the youth group [sports, outing, lock-ins, etc.]

I. GLOBAL/REGIONAL:

A. Total number completed______

B. Required item (s) completed______Yes______No

II. DISTRICT/ZONE:

A. Total number completed______

B. Required item (s) completed______Yes______No

III. LOCAL:

A. Total number completed______

B. Required item (s) completed______Yes______No

Signature of NYI President/Youth Pastor: ______

Please Send to:

Lisa Jones, NYI Secretary

225 Journeys End Drive

Chester, WV26034

Email:

304-387-0702 after 5pm

304-224-6549

If your church does not meet the requirements;

you do not have to return it back to me.

Any questions please let me know.

Thank you,

Lisa