Cross-Cultural Leadership Training Program

Cross-Cultural Leadership

Training Program

Northwest Baptist Seminary 7600 Glover Road, Langley, BC V2Y 1Y1, Canada

Phone: 604-888-7592 Fax: 604-513-8511 Web: www.nbseminary.com

Email: [email protected]

Cross-Cultural Leadership Training Program

CLTP Application Package Page 1 Northwest Baptist Seminary

NorthwestBaptist

Seminary

The Local Church

Intercultural Ministry Environment

INTRODUCTION The need for qualified and dedicated Christian

leaders capable of serving in multi-ethnic contexts is growing rapidly in North America. Not only mission agencies, but churches are looking for individuals who can meet the challenge of intercultural ministry. Through the Cross-Cultural Leadership Training Program, Northwest Baptist Seminary offers a creative method for Fellowship Baptist churches to be active partners in preparing qualified and skilled people who can fulfill their passion to minister in a multi-ethnic setting.

The Cross-Cultural Leadership Training Program offers a way for members of Fellowship Baptist Churches to train for intercultural ministry either in a Canadian setting or internationally. A creative and innovative blend of mentored learning in multi-ethnic settings, in-church training, and formal academic courses is provided to develop a godly pastoral perspective and effective intercultural leadership skills in an affordable manner. If admitted individuals complete both levels of the program, they would earn an accredited Master’s degree while they are being mentored by experienced ministry leaders. This program offers a way for people who are recognized for their gifting and calling to find support for their ministry training through partnership with Northwest and their local church. Such individuals will have the advantage of learning on the job, guided by experienced ministry leaders and seminary faculty.

The Cross-Cultural Leadership Training Program prepares the dedicated student for cross-cultural ministry in missions, intercultural service within Canada or for ministry as a missions pastor.

ACADEMIC EXPECTATIONS Students seeking admission to the Cross-Cultural Leadership Training Program must have two years (60 credit hours) of formal post-secondary education or its equivalent as evaluated by NBS.

Stage One: Diploma in Cross-Cultural Ministry - (30 credits) This part of the program includes a significant component of closely mentored, practical training in a multi-ethnic or cross-cultural setting.

Stage Two: Master of Arts in Christian Studies with an emphasis in cross-cultural ministry- (52 credits)

The Diploma in Cross-Cultural Ministry is issued by Northwest Baptist Seminary while the Master of Arts programs are studied through ACTS Seminaries.

TUITION COSTS The 2007 rate for Diploma level courses is $175 per credit over a total 30 credit hours. $175 X 30 = $5,455* Church $1,818 Seminary $1,818 Student $1,818 *Adjusted to include RES500 Research Strategies which is charged at the current ACTS Seminaries tuition rate. The 2007 rate for Masters level courses is $380 per credit over a total of 52 credit hours as determined by ACTS Seminaries. $380 X 52 = $19,760 Church $6,586 Seminary $6,586 Student $6,586

MENTORED STUDENT



Checklist Dear Pastor, Here is how we suggest you pursue your church’s interest in the Cross-Cultural Leadership Training Program.

1. Read all the enclosed information in order to determine whether a) the student mentoree you are considering for this program and b) your church situation would meet the program expectations. (This step will require you to obtain considerable background information from the student mentoree)

2. Contact Northwest Baptist Seminary to confirm the student's general academic qualifications. Phone: (604) 888-7592 E-mail: [email protected]

3. If the academic indications from the Seminary are generally positive, the church is in a position to participate in such a partnership, and you are confident in the suitability of the student mentoree, contact the Coordinator of Intercultural Leadership Development (CILD), Mark Naylor to determine if there is room in the Gateway Trax program, the possibility of a viable intercultural ministry setting and suitable mentors. Home Phone: (250) 652-6226 Office Phone: (604) 888-7592 E-mail: [email protected]

4. If indications are generally positive, the student mentoree must make a formal proposal to the church seeking their support for the program. The church officials are required to sign the application form.

5. If the church leadership approves support, the student mentoree will complete the application and submit it to the CILD for consideration.

6. After considering the application and the potential for a viable ministry setting as well as a suitable mentor(s), the CILD will seek an interview with you & the student mentoree at a date no later than June 15.

7. The CILD will then submit the application to NBS for formal approval.

8. NBS issues an acceptance letter and course registration information to the student.

9. On receipt of the letter, the student mentoree will register for September courses. Books will then be ordered and students will prepare to begin.

Schedule The following is a proposed schedule of courses for the duration of the Cross-Cultural Leadership Training Program. Students are free to customize their own schedule with the advice of both the Seminary and the church. It should be noted, however, that the Diploma must be completed (minimum G.P.A. 3.0) before the student can be admitted to Master of Arts courses within ACTS Seminaries.

The Diploma part of the program will include a significant component of closely mentored, practical, intercultural training.

Admission to the Master’s component of the program will be on academic probation for the first 15 credits of the Master’s level study pending achievement of an acceptable GPA.

Deadline May 15

Deadline June 15

Deadline June 30

Deadline July 15

Deadline July 30



First Stage: Diploma in Cross-Cultural Ministry - (30 credits) Fall Semester (12 credits) This Semester is completed in a Canadian intercultural ministry setting

CCT 401 The People of God and the Practice of Ministry (4)

CCT 402 A Biblical Theology of World Missions (4)

CCT 403 World Religions (4)

Spring Semester (12 credits) This Semester is completed with the Gateway Trax program

CCT 301 Discipleship (3) CCT 302 Contemporary Issues in Missions

(3) CCT 303 Worldview, Culture and

Ethnography (3) CCT 304 Teamwork and Partnership in World

Mission (3) Summer Semester (7 credits)

This Semester is completed in an international missions setting

CCT 305 Gateway Final Project (1) CCT 404 Developing a Person Missiology (4) LBR 500 Research Strategies (this is an ACTS prerequisite – RES 500)

Please note that students are not obligated to continue on to the MACS program but could conclude their studies with the diploma program OR leave CLTP and apply for the MACCM program (see ACTS website for description of this program).

The Diploma in Cross Cultural Ministry is completed through Northwest Baptist Seminary with potential admission to the ACTS Seminaries MACS program based on meeting ACTS

admission requirements which includes a 3.0 GPA at the undergraduate level. NOTE: Students with minimal undergraduate level Bible or Theology courses

will also be required to successfully complete: BIE 500 Introduction to the Bible and

THS 540 Introduction to Theology

Second Stage: Master of Arts in Christian Studies (MACS 52 Credits) The MACS with an emphasis in Cross-cultural ministry is offered by Northwest Baptist Seminary through its participation in the ACTS Consortium (Trinity Western University). All ACTS rules and protocols apply. The degree can be completed in two years (though a student can take longer if desired). Students can be expected to contribute as many as 40 hours of work per credit hour over the course of the 15 weeks of the semester depending on the academic demands. A student is expected to commit to 8 hours per week of academic study per 3 credits in a given semester (each course is three credits in length). The following schedule assumes the student begins in the fall of an odd numbered year and is located in a Canadian intercultural ministry setting. This plan would require two week-long visits to campus each semester, once early in the semester and the other toward the middle of the semester. The rest of the program can be managed online. Please note that CLD 510 requires an extra visit. This course is concluded by late September so as not to interfere with other Fall semester courses. For further details, please see www.acts.twu.ca.

http://www.acts.twu.ca/



First Fall Semester – 9 credits (September through December)

CLD 510 – Introduction to Christian Leadership (3) BIE 505 – Hermeneutics (3) THS 571 – Believers Church Theology (3)

First Spring Semester – 9 credits (January through April) BIE 000 – New Testament Elective (3) CLD 532/534 – Seminar in Christian Leadership (3) CCM 000 – Cross-Cultural elective (3)

First Summer Semester – 9 credits (May through August) THS 000 – Baptist History and Thought (3) THS 680 – Christianity and Culture (3) CCM 000 – Cross Cultural Elective (3)

Second Fall Semester – 10 credits CLD 535 – Cross Cultural Encounter (1) CLD 531/533 – Seminar in Christian Leadership (3) MCS 810 – Graduating Essay (3) CCM 000 – Cross-Cultural Elective (3)

Second Spring Semester – 12 credits CLD 532/534 – Seminar in Christian Leadership (3) CCM 000 – Cross-Cultural Elective (3) BIE 000 – Old Testament Elective (3) THS 000 – Theology Elective (3)

Second Summer Semester – 3 credits ELE 000 – General Elective (3)

Graduation Options - ACTS policy states that a student must complete all but three credits of their program by the end of a spring semester in order to participate in graduation, providing that the outstanding course is completed in the subsequent summer. The graduate essay must be completed before the student can “walk” at graduation. Therefore, a student wishing to participate in graduation in April of the second year should begin the graduate essay (MCS 810) in the preceding summer or fall.



Financial Expectations It is anticipated that the student will be a full-time intern employed by the church throughout the duration of the program. While these arrangements can be negotiated the plan is that the church would provide basic living expenses (perhaps room and board) plus one third of the cost of ACTS/NBS tuition (not including Gateway fees and the cost of the STM trip). The other two thirds would be shared equally between the student and the Seminary by way of scholarship. Terms of employment are entirely within the province of the church and student. Students will be responsible for their own costs related to any additional courses required to meet program admission standards. Books and supplies are the responsibility of the student. The Seminary reserves the right to limit the number of students enrolled in the program as funds allow.

TUITION COSTS: The 2007 rate for Diploma level courses is $175 per credit over a total 30 credit hours. $175 X 30 = $5,455* Church $1,818 Seminary $1,818 Student $1,818 The student and church would be responsible for a total of $1,818 each, spread unevenly over the three semesters of the first year. This amount does not include the cost of books, supplies, or Gateway fees or the STM trip expenses which would be over and above these costs and are the responsibility of the student and church. *NOTE: RES500 Research Strategies is an ACTS course and falls under ACTS current ACTS tuition rates. This adjustment is reflected in the figures above. The 2007 rate for Masters level courses is $380 per credit over a total of 52 credit hours as determined by ACTS Seminaries. $380 X 52 = $19,760 Church $6,586 Seminary $6,586 Student $6,586 The student and church would be responsible for a total of $6,586 each, spread unevenly over the six semesters of the second and third year. This amount does not include the cost of books and supplies which would be over and above these costs; nor does it allow for inflationary increases from year to year. SUMMARY: reflecting a projected 5% yearly adjustment for inflation at the masters level given the student commencing this program in the Fall 2007 semester.

Student Church Seminary Scholarship* Diploma Tuition $1,818 Diploma Tuition $1,818 Diploma Tuition $1,818Masters Tuition $6,586 Masters Tuition $6,586 Masters Tuition $6,586

TOTAL TUITION: (+5% adjustment)

$8,733 TOTAL TUITION:(+5% adjustment)

$8,733 TOTAL SCHOLARSHIP:

$8,733

Gateway Costs (2007)

$3,230 Gateway costs are over and above the regular course tuition rates and include room and board for four months. (couples and families will have some concessions).

** The four month STM trip can cost up to $16,000 depending upon the placement required.



Gateway Program Details The Gateway modules taught during year one - second semester have been organized under four three credit NBS courses. NBS faculty will oversee these courses as academic mentors for the student although the teaching of the modules will remain the responsibility of Gateway. The modules have been designated as follows: CCT 301 Discipleship (3)

Church Planting in Missions Becoming a Disciple Maker Cross-cultural Evangelism / church planting Experiencing God

CCT 302 Contemporary Issues in World Mission (3) Contemporary issues in Missions Theology of Missions World Mission (adapted from Perspectives) Spiritual Warfare

CCT 303 Worldview, Culture, and Ethnography (3) Culture, Ethnography and Adaptation (3 modules) Worldview LACE: Language Acquisition for Cross-Cultural Effectiveness (2 modules)

CCT 304 Team Work and Partnership in World Mission (3) Raising and Keeping Partners in Missions Building Strong Teams SYIS: Sharpening Your Interpersonal Skills Nurturing the Spirit to Thrive in Missions

First Year Calendar of Events Jan - April ...... Pastor works with the CLTP candidate investigating with the candidate issues

of suitability, calling, timing etc. This includes sending academic transcripts to NBS.

May 15 .......... Completed application form and references submitted to the NBS.

June 15 ......... Last date for CILD interview of applicant.

June 30 ......... Last date for applications of approved candidates to be submitted to NBS.

July 15........... NBS issues a letter of acceptance and registration information to each approved applicant.

July 30........... Last date for new student to register for Fall semester courses.

September 1.. Fall semester begins.

January 2 ...... Spring semester begins (Gateway).

February 28... Student pre-registers with ACTS for RES 500 (LBR500)

May 1 ............ Summer semester begins.

June 1 ........... Application to ACTS Seminaries

NORTHWEST BAPTIST SEMINARY ACTS Seminaries NBS Gateway APPLICATION FOR ADMISSION TO

CROSS-CULTURAL LEADERSHIP TRAINING PROGRAM (CLTP)

1. Print your full name: FIRST LAST MIDDLE (WIFE'S NAME IF MARRIED) 2. Print your current mailing address: STREET CITY PROV/STATE POSTAL CODE E-MAIL ADDRESS

3 DD/MM/YYYY S / M

. Print your personal & contact information:

SOCIAL INSURANCE NUMBER BIRTHDATE MARITAL STATUS HOME PHONE NUMBER CELL PHONE NUMBER

4. Print Pastor information: NAME OF YOUR PASTORAL MENTOR OFFICIAL POSITION PHONE NUMBER EMAIL ADDRESS

5. Print your church's name: 6. Print your church information: STREET CITY PROV/STATE POSTAL CODE PHONE

7. Print your educational history:XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX NAME OF INSTITUTION DEGREE/DIPLOMA RECEIVED YEARS ATTENDED

• PLEASE BE SURE TO HAVE OFFICIAL TRANSCRIPTS OF ALL PREVIOUS POST SECONDARY

EDUCATION SENT TO NORTHWEST BAPTIST SEMINARY - ATTENTION REGISTRAR • PLEASE ATTACH A COPY OF YOUR PERSONAL TESTIMONY

STUDENT'S SIGNATURE and CILD’s APPROVAL I HEREWITH MAKE APPLICATION FOR ADMISSION TO THE CROSS-CULTURAL LEADERSHIP TRAINING PROGRAM AND CONFIRM THAT THE ABOVE INFORMATION IS COMPLETE AND CORRECT. ___________________________ _________________ _________________________ Applicant's Signature Date CILD Signature

CHURCH'S COMITTMENT

WE HEREWITH CONFIRM OUR COMMITMENT TO SUPPORT THE ABOVE NAMED STUDENT FOR THE DURATION OF HIS ENROLMENT IN THE CROSS-CULTURAL LEADERSHIP TRAINING PROGRAM AS DESCRIBED IN THE PROSPECTUS. ___________________________ _________________ _________________________ Pastor’s Signature Date Board Chairman's Signature NORTHWEST BAPTIST SEMINARY ACADEMIC DEAN _____________________________________________ Signature Date NOTE: A further application will need to be made to ACTS Seminaries for the MA portion of the program subsequent to completion of the Diploma. Acceptance into CLTP does not automatically imply acceptance into the MA by ACTS. FOR OFFICE USE ONLY: NBS application fee $35DATE RECEIVED: BY: Gateway application fee $30Student ID # assigned TOTAL RECEIVED


PLEASE COMPLETE THE FOLLOWING AS ACCURATELY AND COMPLETELY AS POSSIBLE:

1. Present Citizenship: ____________________________________________________

2. If naturalized Canadian citizen, when and where did you get your naturalization papers?

Date:_________ Place: ______________________________________________________________________

3. Present Occupation: ________________________________________________________________________

4. Family Background: ________________________________________________________________________

Father ____________________________________________________________________________________ Mother ____________________________________________________________________________________ Full Name _________________________________________________________________________________ If living, give age ____________________________________________________________________________ Address ___________________________________________________________________________________ Occupation_________________________________________________________________________________ Nationality _________________________________________________________________________________ Member of what church? ______________________________________________________________________

5. Are your parents in sympathy with your training / ministry purpose? ____ If not, what is their objection? _

__________________________________________________________________________________________

6. If parents are not living, give names and addresses of two nearest relatives:

1. ________________________________________________________________________________________ 2. ________________________________________________________________________________________

7. What other educational advantages (such as special training, music lessons, travel, etc.) have you had?

__________________________________________________________________________________________ __________________________________________________________________________________________

8. What languages (other than English) have you studied, and how long?

__________________________________________________________________________________________ What languages (other than English) can you speak? _______________________________________________

9. What special talents or abilities, such as musical, artistic, mechanical, etc., do you have?

__________________________________________________________________________________________ __________________________________________________________________________________________

10. What hobbies or forms of recreation do you enjoy? ______________________________________________

11. Is anyone dependent upon you for support? ____ If so, to what extent? ____________________________

12. Are you in debt? ______ If so, to whom? __________________ Amount? ___________________________

How do you expect to meet this obligation? _______________________________________________________ Have you been in the habit of contracting debts? ___________________________________________________ What is your attitude towards the contraction of debts by Christians? ___________________________________ __________________________________________________________________________________________

13. Do you, after prayerful consideration, believe that you are clearly called of God to go into a situation where you must trust Him for the supply of all your temporal needs? _______________________________

14. Have you ever had a very clear testing in trusting God for your temporal needs? _____________________

Give details ________________________________________________________________________________ __________________________________________________________________________________________

15. Is there any domestic situation or personal problem which might interfere with your going to the field or necessitate your returning from the field, should you be appointed? _______________________________

16. Are you a total abstainer from tobacco, opium, cocaine, or other narcotic drugs? ____________________

17. What is your attitude towards alcoholic beverages? ______________________________________________

__________________________________________________________________________________________

ACTS Seminaries NBS Gateway


18. In areas of lifestyle where there may be differences of approach among evangelical Christians, would you be prepared to give up personal choices which might irritate your fellow ministry workers and/or other Christians?________________________________________________________________________________

19. Has any member of your family had cross-cultural ministry experience? If yes, give details: _________

__________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________

20. Do you feel called to any particular place or ministry focus? If so, where and why? ___________________

__________________________________________________________________________________________

21. In what types of service are you most interested? _______________________________________________

22. What do you feel most qualified to do? ________________________________________________________

23. Do you desire to make this your life work? _____________________________________________________

24. Summarize your ministry purpose ____________________________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________

25. When were you baptized? ______________ Where? _____________________________________________

__________________________________________________________________________________________

26. What are your habits regarding your devotional life?

(a) as to Bible study? ________________________________________________________________________ (b) as to prayer? ____________________________________________________________________________ (c) if married, do you maintain family worship? _____________________________________________________

27. What is your experience regarding personal evangelism?

(a) Do you attempt to witness regularly? _______ To whom?_________________________________________ (b) Indicate areas of experience:

friendship evangelism _________________________________________________________________ tract distribution ______________________________________________________________________ crusade evangelism ___________________________________________________________________ door-to-door _________________________________________________________________________ evangelistic Bible studies _______________________________________________________________ cold contact (e.g. on plane, street, etc.) ___________________________________________________ other: _______________

(c) Can you point to any definite cases in which God has used you to bring someone to faith in Christ? ________ Give examples: __________________________________________________________________________ __________________________________________________________________________________________

28. How much practical experience have you had in Christian work since your conversion?

Type of work _______________________________________________________________________________ Where ____________________________________________________________________________________ Age Group _________________________________________________________________________________ How long __________________________________________________________________________________

29. Cross-cultural ministry may involve difficulties of which the following are typical: adjusting to different cultures and environment; separation from family and friends; occasionally living in a somewhat isolated community with less modern conveniences; managing on a limited income; assuming heavy personal and group responsibilities; facing health hazards; submitting to the decisions of the majority. Do you seek cross-cultural ministry training with the full knowledge of such possibilities and with a readiness to meet them to the best of your ability? Please comment:___________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________


30. Ministry often brings heavy responsibilities without expected recognition or authority. Does your past experience indicate that you are able to bear responsibility cheerfully and calmly, without anxiety, sleepless nights and care? Please comment: __________________________________________________

__________________________________________________________________________________________

31. Are there any other facts—assets, limitations, or problems—which the NBS and your church should know in order to consider your application more adequately? Specify:

__________________________________________________________________________________________

__________________________________________________________________________________________

32. List books and periodicals you have read on missions or cross-cultural ministry in the last 2 or 3 years: _

__________________________________________________________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________

PERSONAL BACKGROUND On a separate piece of paper, prepare a complete summary of your life (please type your response). For your guidance we submit the following outline:

1. Brief comment on your early life, place of birth, any interesting facts about your home background and early training.

2. The story of your conversion. Include interesting factors that may have played a part in leading you to Christ.

3. Tell about your training and schooling. Mention items of personal interest in this, experiences you have had in leading others to Christ.

4. Your call to ministry—How did it come about? What constituted the call for you? What factors led you to feel the call to your particular place of ministry, if you have had any leading in that regard as yet?

5. What circumstances led you to apply to CLTP and why do you feel that this is the training God would have you pursue?

6. What do you want to say to the people in your church who will be supporting you and praying for you?

7. What challenge do you have to give to young people that will lead them to give themselves to service for Christ?

8. Give a brief personal testimony which we can quote in our publications in the event that you are accepted as a CLTP intern.


21233 32nd Ave., Langley B.C. Canada V2Z 2E7 PHONE: 604-530-4283 FAX: 604-530-7192

[email protected] www.gatewaytraining.org

ACTS Seminaries NBS Gateway

APPLICATION FORM FOR SPOUSE (CLTP program)

Name_________________________________________Known by:_____________________Male/Female: Current Address: ________________________________________________________________________ Phone No._______________Fax No_______________ E-mail____________________Date of Birth ______ (D-M-Y) Home address and Phone Number (If different from above _______________________________________ __________________________________________________________________________________________

Citizenship______________________First Language___________________Other Languages Spoken ___ Circle whichever is appropriate: Single Engaged Married Separated Divorced Remarried Widowed Name and age of Spouse: ________________________________________________________________ Names and Birthdates of Children: _______________________________________________________________ EDUCATION HISTORY: Name of Institution____________________________________________________________________________ Dates Attended ______________________________________________________________________________ __________________________________________________________________________________________

Qualification_________________________________________________________________________________ __________________________________________________________________________________________

__________________________________________________________________________________________

EMPLOYMENT HISTORY: __________________________________________________________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________

When were you converted to the Lord Jesus Christ? _________________________________________________

mailto:[email protected]

http://www.gatewaytraining.org/


Name the Church or fellowship which you attend ____________________________________________________ Are you a member?_______________________ Does the leadership approve of your application?_____________ Name, address. E-mail and phone number of your Pastor_____________________________________________ In what Christian work have you been engaged? ____________________________________________________ Do you have reason to believe that you have been used towards the conversion of others? ___________________ Do you affirm a sense of call to cross-cultural missionary work?_________ Where? _________________________ How much of the Bible have you read? ___________________________________________________________ How many minutes do you spend in prayer and Bible study daily?_______________________________________ List some Christian books you have read:__________________________________________________________ __________________________________________________________________________________________

Do you drink alcohol?______________ Do you smoke? ______________ Have you used any kind of drugs? ____ If yes, for how long?___________ Do you now suffer from side effects? __________________________________ Are you entirely free from debt and other financial liabilities?__________ If not, please explain _________________ How, or by whom, were you influenced to consider Gateway? __________________________________________ Do you agree with the doctrinal basis of Gateway?___________________________________________________ Do you hold any doctrinal view differing from those usually held by evangelical Christians? If so, please explain?___ __________________________________________________________________________________________

Are you an artist or do you sing or play any musical instrument? If so, give details: __________________________ I do hereby certify that the information give in this application is complete and true in every respect. Date: __________________________ Signature: ______________________________________________


ACTS Seminaries NBS Gateway FEBInternational

Northwest Baptist Seminary Permission to Disclose Student Information

Due to the complexity of the CLTP program involving a number of institutions, Northwest will need to forward copies of parts of the student's Northwest academic file relevant to application procedures to the enrolment departments of those institutions. These institutions include FEBInternational, ACTS Seminaries, and Gateway Missionary Training Center. The relevant documents are:

1. The applicant/student's personal references 2. The applicant/student's personal testimony 3. The applicant/student's academic transcripts from other institutions 4. The applicant/student's current registration in the CLTP program at

Northwest 5. The medical forms for the applicant/student and family members 6. Photographs of applicant/student and spouse 7. The applicant/student's Letter of Intent 8. The application form of the applicant/student’s spouse 9. The applicant/student's signed agreements to the Ethical conduct, non-

harassment policies 10. The applicant/student's signed agreements to willingness to cooperate and

doctrinal statements. In order to do that Northwest needs the following waiver signed by the applicant/student:

Applicant/student Name: ___________________________________________

Social Insurance Number: __________________________________________

Address: _______________________________________________________

Phone number:___________________________________________________

E-mail address: __________________________________________________

I HEREBY GRANT NORTHWEST BAPTIST SEMINARY PERMISSION TO DISCLOSE MY PERSONAL/ACADEMIC INFORMATION AS OUTLINED ABOVE TO THE ABOVE INDICATED INSTITUTIONS FOR THE PURPOSES OF APPLICATION AND ENROLMENT. I am at least 18 years of age and I have read and understand the forgoing statement and am competent to execute this agreement. ______________________ ________________ Student signature Date

CLTP Application Page 1 Northwest Baptist Seminary

ACTS Seminaries Northwest Baptist Seminary Gateway

Confidential Personal Reference # 1 Employer/Friend Applicant

Mr. Ms. Mrs. Miss Name (last, first, middle)_______________________________________________________________________

Mailing Address______________________________________________________________________________________________________

City _________________________ Prov/State ________________ Country ____________________ Postal Code/Zip __________________

Home Phone __________________ Work Phone _________________ Fax __________________ E-mail _____________________________

Country and people group of concern for cross-cultural ministry ________________________________________________________________

Referee The person named above has applied to the CLTP Training Program and has submitted your name as a referee. Kindly complete all of the questions to the best of your knowledge.

Mr. Ms. Mrs. Miss Name (last, first, middle) ______________________________________________________________________

Position_______________________________________________ Company ____________________________________________________

Mailing Address______________________________________________________________________________________________________



How long have you known the applicant? ________________________ How well do you know the applicant? Very well Well Casually

Describe the context of your relationship with the applicant

Health: Describe the applicant's health

Suitability: Please outline openly your evaluation of the candidate's suitability for overseas Christian service. Kindly share information, or impressions.

Preparation: What do you sense may be lacking in the candidate's preparation?

Aptitude: Please evaluate the candidate's aptitude and desire to learn, especially a foreign language.

Service: In what ways has the candidate been involved in Christian ministry?

Further comments you may have regarding the applicant

Please complete both sides of this reference form…



Confidential Personal Reference # 1 Employer/Friend Check the words or phrases which best describe the applicant

Desire to learn Strong Determination Positive Attitude Needs encouragement Shows little interest No opportunity to observe

Leadership Excellent initiative Good organizer Leads when asked Makes little effort No opportunity to observe

Cooperation Works well with others Usually cooperative Avoids group activities Causes friction No opportunity to observe

Respect for authority Always respectful Generally respectful Critical Disrespectful No opportunity to observe

Concern for others Unselfish, caring Considerate Indifferent Self-centered No opportunity to observe

Acceptance by peers Well liked, sought out Well accepted Tolerated Not accepted No opportunity to observe

Choice of associates Very discerning Somewhat discerning Questionable discernment Careless No opportunity to observe

Attitude toward the opposite sex Sensible Embarrassed Overly familiar No opportunity to observe

Emotional stability Consistently Stable Usually well adjusted Sometimes unstable Unbalanced, unstable No opportunity to observe

Energy and initiative Seeks additional tasks Does more than expected Needs encouragement Shows little interest No opportunity to observe

Spiritual motivation and moral integrity High Consistent Inconsistent Little spiritual belief No opportunity to observe

I have no reservations about the applicant’s honesty or integrity Strongly agree agree Disagree Strongly disagree No opportunity to observe

Anticipated achievement in academic studies Will excel - (A student) Better than average Acceptable May struggle No opportunity to observe

Anticipated success in ministry Very definite Highly probable Adequate Uncertain, but willing Improbable

I would rate the applicant’s commitment to a full-time career in Christian Service as Outstanding Good Adequate Unsuitable No Comment

Recommendation I recommend this applicant I recommend this applicant with reservation (please attach reasons) I do not recommend

If you think we need further information, please supply us with the full name, phone number and address of a person who could give another reference:

Name: _______________________________________ Phone number: _______________________________ Address:___________________________________________________________________________________

Signature ___________________________________________ Date: _______________________________________



Confidential Personal Reference # 2 Pastor/Spiritual Advisor Applicant


Mailing Address______________________________________________________________________________________________________







Mailing Address______________________________________________________________________________________________________














Confidential Personal Reference # 2 Pastor/Spiritual Advisor Check the words or phrases which best describe the applicant



















Signature ___________________________________________ Date: _______________________________________



Confidential Personal Reference # 3 Church Board/Congregation Applicant


Mailing Address______________________________________________________________________________________________________







Mailing Address______________________________________________________________________________________________________














Confidential Personal Reference # 3 Church Board/Congregation Check the words or phrases which best describe the applicant



















Signature ___________________________________________ Date: _______________________________________



Confidential Personal Reference # 4 Teacher/Professor

Applicant


Mailing Address______________________________________________________________________________________________________







Mailing Address______________________________________________________________________________________________________














Confidential Personal Reference # 4 Teacher/Professor Check the words or phrases which best describe the applicant



















Signature ___________________________________________ Date: _______________________________________

Cross-Cultural Leadership Training Program

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