APPLICATION FORM 2014/2015 Please complete and return this application form to: academy@newgroundchurches.org SUMMARY INFORMATION Name: ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ Church: ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ. ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ. Academy training runs monthly from September to July on Fridays & Saturdays. We will arrange interviews in due course. Please also see www.newgroundacademy.org for more details. 1. PERSONAL DETAILS Title: Mr Mrs Miss Dr Other if so, please state:... ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ Forename: ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ... Date of Birth: ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ.. ﾄ ﾄ... Address: ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ. ﾄ. ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ... ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ Post code: ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ Tel Home: ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ... ﾄ ﾄ ﾄ. ﾄ Surname: ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ. Marital Status: ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ. ﾄ.. If married, give date of marriage: ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ. If you have children, how many? ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ.. If engaged, give expected date of Wedding: ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ.. New Ground Academy Application Form 2014-2015 Page 1 of 9
Tel Mobile: ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ... Tel Work: ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ. ﾄ ﾄ ﾄ.. Email address: ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ. ﾄ ﾄ ﾄ. Do you have a full driver ﾇs licence? Yes No (please tick) If YES, will you have the use of your car during the training? Yes No (please tick) 2. OCCUPATION Current employer: ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ. ﾄ ﾄ ﾄ.. Nature of responsibilities and duties: ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ. How long have you been with your current employer? ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ.. ﾄ If unemployed, please give last occupation with dates: ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ. 3. EDUCATION Highest educational qualification: ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ. 4. HEALTH Are you taking medication under a doctor ﾇs direction? Yes No (please tick) If YES, please give details of your condition: Are you generally in good health? Yes No (please tick) Do you need any special diet? Yes No (please tick) If YES, please give details: ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ New Ground Academy Application Form 2014-2015 Page 2 of 9
5. CHURCH LIFE Home Church:.. ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ.. ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ.. Church Leader: ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ. Address: ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ.. ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ... ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ.. Post code: ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ Tel No: ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ... Church email: ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ If you are currently on Frontier Project (Impact), please give details of your project church: Project Church name:.. ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ.. ﾄ ﾄ ﾄ.. Leader: ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ.. Address: ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ.. ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ... Post code: ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ Tel No: ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ... Please state any current responsibilities you have in your church: Are you currently on staff at your church (i.e. in paid employment)? ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ Are you an elder at your church? ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ Do you have a sense of call to full-time church work?... New Ground Academy Application Form 2014-2015 Page 3 of 9
6. PREVIOUS TRAINING/EXPERIENCE a) Please list any training that you have attended, e.g. FP Impact or other, giving details of what, where, when. b) What Christian projects or church work have you done in the past that has developed your skills? c) With which church or Christian organisation was this Christian service done? d) What discipling have you had in the past? ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ... ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ.. ﾄ e) What (if any) systematic biblical and theological studies have you undertaken? f) How did you find out about the New Ground Academy? New Ground Academy Application Form 2014-2015 Page 4 of 9
7. COACHING/MENTORING WHILE IN THE ACADEMY Having leadership responsibility within a church ministry is an important part of the New Ground Academy. a) Do you have somebody who will be coaching/mentoring your skills and character development during your time in the Academy? If so, who? b) Describe the role/function you will have in the local church during your time in the Academy. What opportunity will there be for developing your skills? c) Has this role/function already been agreed with your church leaders? Yes No (please tick) 8. OTHER INFORMATION a) Why do you want to join the New Ground Academy? b) What do you believe God is calling you to in the future? Non-staff ministry leader Eldership Full-time church staff Church-planter Lead elder/senior pastor Other c) What do you think are your main gifts? New Ground Academy Application Form 2014-2015 Page 5 of 9
d) What do you believe your strengths to be? e) What are your weaknesses? f) How did you find out about this course? 9. FINANCES a) How do you intend to pay the Academy tuition fees? b) How are you going to be financed personally during your training? c) Who have you discussed this with? New Ground Academy Application Form 2014-2015 Page 6 of 9
10. REFERENCE A reference will be required from your home church leader. Please ask him to complete the attached form. Referee ﾇs name: ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ. ﾄ ﾄ ﾄ... Referee ﾇs address: ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ. ﾄ ﾄ ﾄ Post code: ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ. ﾄ ﾄ ﾄ Tel No: ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ... New Ground Academy Application Form 2014-2015 Page 7 of 9
CHURCH LEADER REFERENCE FORM Name of Applicant: ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ. ﾄ ﾄ ﾄ Church Leader: ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ. ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ.. Church Name: ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ. Address: ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ. ﾄ Postcode: ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ.. Tel: ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ 1) Do you feel that the applicant is suitable for the New Ground Academy at this time? If so, why? 2) Which responsibilities does the applicant currently have in your church? 3) Which leadership qualities have they demonstrated? 4) Do you see this student as a future: Non-staff ministry leader Elder Full-time church staff Church-planter Lead elder/senior pastor Other New Ground Academy Application Form 2014-2015 Page 8 of 9
5) How do you plan to develop their leadership potential while they are in the Academy? 6) We encourage sending churches to fund between 50% and 100% of the student ﾇs 350 per year fee for the Academy. How much of the student ﾇs fee are you intending to pay for him/her? 7) Please add any other comments if necessary. Signed: ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ. ﾄ ﾄ ﾄ.. Date: ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ ﾄ Please return this form to academy@newgroundchurches.org New Ground Academy Application Form 2014-2015 Page 9 of 9