Mission Scholar Application Form

Thank you for your interest in becoming a Mission Scholar with YMCo! The Mission Scholar application is located at the bottom of this page. Once you begin filling out the form, the form will need to be fully completed and submitted. Read through the information so that you will know what is needed to complete the form. (Note: The application includes a section for applicants and a section for parents – both must be completed and signed).

First, you will want to read all the information provided here to understand what your year will look like. In addition to the Application Form, you will need to provide at least 2 references. Each reference can complete an online Reference Form for you and submit it directly to YMCo.

Mission Scholar Application

* Indicates required field

Applicant Name *

First

Last

Email *

Phone *

Home Mailing Address *

Line 1

Line 2

City

State

Zip Code

Country

Date of Birth *

MM/DD/YYY

Current Grade *

Gender *

Congregation you attend (if any) *

Parent 1 Name *

First

Last

Parent 1 Mailing Address *

Line 1

Line 2

City

State

Zip Code

Country

(if different from Applicant)

Parent 1 Email *

Parent 2 Name *

First

Last

Parent 2 Mailing Address *

Line 1

Line 2

City

State

Zip Code

Country

(if different from Applicant)

Parent 2 Email *

Select the one closest to your region. Please choose other if you are not in any of the regions listed.

Mission Experiences

Experience with local Mission and Service: *

List any agencies/ministries where you have served or participated, including city, state, with whom they worked and what you did with them.

Experience with Mission and Service Trips/Immersions: *

Include where you went, when, with whom, and what you did or experienced while you were there.

Reflection Questions

Why are you interested in being a Mission Scholar and what do you hope to gain from this year-long experience? *

What is something that you have learned (or a way you have grown) from a previous mission/service experience? How has it changed the way you currently think and live? *

How would you describe your current theology of mission? In other words, what do you believe regarding God's call to love and serve others? (Feel free to include any references or stories from the Bible, or quotes from other people that have influenced your beliefs.) *

Do you have any creative hobbies, talents, interests that you would like to tell us about? (Participation in music, drama, visual arts, photography, etc.) *

Additional Information

Mission Advisor *

YES, I have someone in mind to serve as my local advisor. NO, I do not yet have someone in mind.

This program includes regular meetings with a local person that will serve as your local mission advisor. (This could be a church youth director, educator, pastor or other adult.) Do you have a potential mission advisor in mind?

Are there any physical, mental, emotional, behavioral, or other special needs that might affect your ability to fully participate in the program that you would like to share with us? *

Yes No

Applicant agreement

Select One *

Date *

Parent Portion of the Application

Name of Parent completing this portion of the Application *

First

Last

Why are you interested in our child participating in this mission scholar program? *

What do you hope your child will gain from this experience? *

Participation & Travel *

This program involves various in person events over the course of a year that will be held in the city of the cohort. Participants will be expected to arrange their own transportation to and from these events. Do you foresee any issues with your child getting to and participating in these events? If so, please describe below.

Terms of the Program*

Participants will be expected to attend the scheduled events of the program. (Some events will be in person, and some may be on video platform.) Failure to attend at least 3/4 of the cohort meetings may result in removal from the program and/or having a status of not completing the program. Participants are expected to arrange their own transportation to and from the in person cohort events.

Participants are expected to exhibit an openness to the experiences and education being offered in the program. Any participant exhibiting behavior that is offensive and/or abusive may be removed from the program.

Costs
The total cost of this year-long program is $1200. This includes all expenses for experiences, meetings, as well as staffing for the year-long programming. This fee does not include transportation to and from cohort events. It also does not include any supplies the student may need for their creative project and final presentation. Some scholarships are available to accepted participants upon request.

Payments will be made monthly, with the first portion ($100) due two weeks after the student is accepted into the program. Invoices for each payment will be sent to your email(s) and payment can be made online or by mailing a check, unless other sponsorship or scholarship arrangements have been made. Failure to pay the fees for the program may result in your student not completing the program.

By selecting below, I indicate that I understand and agree to the travel, programmatic, and financial obligations of the YMCo Mission Scholar Program, and I will fully support my child in their participation.

Select One *

Date

Submit

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