Mentor and Reference Form
Youth Becoming Leaders: High School Christian Leadership and Global Transformation Institute
Congratulations! You have been chosen by a high school student leader to potentially be a significant mentor in their life. This is a huge honor and we are excited to help strengthen and encourage this relationship. Research continues to show that these types of adult mentor relationships are significant factors in helping young people continue a life committed to Christ, leadership and the church.
The studentis applying for the Youth Becoming Leaders program at Asbury University this summer and is looking for a mentor who can assist him/her in his/her development as a Christian leader. Please read through this form, complete the fillable reference and submit to or print and mail it to:
Asbury University
Dr. Brian Hull – Youth Becoming Leaders
One Macklem Drive
Wilmore, Kentucky 40390
The purpose of Youth Becoming Leaders: High School Christian Leadership and Global Transformation Institute is to equip High School students for theologically guided living and decision making through immersion in Christian Scripture, theological texts, tradition and community to lead and serve in a complex global society.
Youth Becoming Leaders is a program for high school students who are committed to Christ, leaders in their local community, academically gifted, and discerning a call to full-time ministry. Eligible students must have finished 9th grade by June 2017 and have a Grade Point Average (GPA) of 3.3 or higher.
The camp is June 5-16, 2017 and the cost for the camp is $250/student.
This mentor should be someone who is a Christian and is currently serving in a leadership capacity in theapplicant’s home area. Youth Becoming Leaders will be bringing the mentor to join the accepted student for the last 24 hours of the camp – free of charge to the mentor - arriving the afternoon/evening of Thursday, June 16, 2016 and leavingat the completion of the camp the afternoon of Friday, June 17, 2016. The mentor will also be involved post-event with the student for some curriculum-driven follow up conversations, discipleship and a student-initiated community action ministry project.
Please fill out the below information indicating your interest in being the mentor for the applying student, your willingness to join the student for the twenty-four hours indicated above, and your commitment to mentor the student for a period of at least six months in a student initiated community action ministry project.
If you have questions about the Youth Becoming Leaders program or your role as a potential mentor, please feel free to contact us – .
Name of student applying:Click here to enter text.YourName: Click here to enter text.
TitleFirst nameLast name
Your Mailing address: Click here to enter text.
City: Click here to enter text.State: Click here to enter text.Zip: Click here to enter text.
Email address: Click here to enter text. Phone number: Click here to enter text.
Relationship to student applying: (e.g., pastor, teacher, etc.)Click here to enter text.
Please rate the applying student in the following areas by checking the appropriate box. It is important that you answer these questions honestly and openly. These responses will be confidential:
Low High
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Character☐☐☐☐☐
Integrity☐☐☐☐☐
Christian Witness☐☐☐☐☐
Leadership☐☐☐☐☐
Willingness to Serve☐☐☐☐☐
Intellectual Ability☐☐☐☐☐
Comments:
Areas student is involved in ministry leadership in your community/church:
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Comment briefly about the student’s fit with the purposes of Youth Becoming Leaders:
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Any other comments you would like to share about the applicant:
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Agreements:
After reading the description of the Youth Becoming Leaders Program, do you recommend the applying student for the program?
Yes ☐No ☐
After reading the description of the Youth Becoming Leaders Program, are you willing to support the applicant and act as their mentor for the requirements of the camp if they are selected?
Yes☐No ☐
Signed: Click here to enter text.
By typing my name I am stating that all information listed above is accurate to the best of my knowledge.