Sim Application 2010

Attach photo here (Returned if required)

2010 STUDENTS IN MISSION I. BASIC FACTS ABOUT YOURSELF A.

Name____________________________

Preferred/or nickname______________

B.

Date of Birth ________________

C.

Permanent Home Address______________________________________________

Place of Birth_________________________ Street

City

________________________________ Home Phone_______________________ State

Zip

D.

College/University________________________________Year in School________

E.

Complete College Mailing Address_______________________________________ Street

__________________________ State

City

College Phone___________________________

Zip

F.

If attending college, spring semester ends when?____________________________

G.

Name and address of your local church____________________________________ Name

____________________________________________________________________ Street

City

State

Zip

H.

Email address________________________________________________________

I.

Best Way to Contact You_______________________________________________

II. YOUR PAST LIFE A.

In what towns, cities, or areas have you lived?

B. What do you consider to have been your most significant personal achievement during high school?

C. What has given you the most difficulty during college? (BE VERY SPECIFIC)

D.

Briefly describe your activities and responsibilities in your local church and college.

III. YOUR FUTURE A. What are your plans for future education and/or career employment? (Give Details)

B. What are your feelings about the future? Do you consider yourself basically optimistic or pessimistic? Explain your response.

C. Do you intend to apply for other jobs or projects for the summer of 2010? Circle Yes / No If your answer is “yes”, where would Students In Mission rank in your order of preference? You may explain if you wish.

D. Are there any factors, such as demanding family situations (long-term illness of family members), previously made commitments (such as promises to be in a wedding etc.), vacation plans of your family, high school graduation of a friend or relative which you will attend, or any such matters which might infringe in any way upon your freedom to totally commit yourself to the dates of June 10 – July 31, 2010, with possible additional training June 7-9 depending on your site? If so write your response here.

IV. YOUR SELF UNDERSTANDING A. List all of the specific skills, which you have, giving examples of how you may have used these skills in the past. (BE VERY SPECIFIC) Examples of skills: playing piano, carpentry, swimming, teaching, sports activities, specific crafts, etc.

From the above list, tell which skills are your strongest ones, the one you can do best.

B. Write an original essay (50- 75 words), which describes your own concept of “mission”.

C. In the light of your talents, abilities, aspirations, skills and your own concept of mission, what type of SIM assignment would be most or least suited to you? Explain. FYI – sites range from those primarily dealing with construction to those working with children. All deal with people in need and the church in mission.

V. OTHER INFORMATION A. Are you in good physical heath?_________ Do you have any physical problems which would need to be considered in making your assignment in SIM? Explain.

B. Do you have a driver's license?_________ Will you have a car available to use during the summer?_________ Note: These two questions are for information in making SIM assignments and in no way have any bearing on your possible acceptance. C. Please give the names and addresses of the people who will be asked to provide references for you: 1. Your Pastor_________________________________________________________

________________________________________________ 2. An employer or teacher:_______________________________________________

_________________________________________ VI. YOUR RESPONSE OF AVAILABILITY: If you can declare yourself free from schedule conflicts so as to totally commit yourself to SIM June 10 – July 31, 2010, with possible additional training June 7-9 depending on your site, please sign here: Signature_____________________________________ IMPORTANT NOTES: 1. PLEASE INCLUDE A $15 CHECK (NON-REFUNDABLE APPLICATION FEE.) MAKE CHECKS PAYABLE TO: WINTHROP WESLEY FOUNDATION 2. PLEASE ATTACH RECENT PHOTO TO TOP CORNER OF PAGE 1 3. THEN RETURN THIS FORM AS EARLY AS POSSIBLE, BUT NO LATER THAN FEBRUARY 26, 2010.

Mail to:

Reverend Narcie M. Jeter Winthrop University P.O Box 5009 Rock Hill, SC 29733