Teen Leaders in Training (TLT) Application

Please indicate which classes you have completed.*

Parent's E-mail*
Home Address*

Street Address

P. O. Box

CityState

Zip Code
Home/Parent's Phone Number*

Area CodePhone Number
Parent's email (Parent's will receive a copy of your submission)
example@example.com
If you are a returning TLT it is not nessary to get your references again. However, if this is your first time being a TLT, please fill in the references portion of this form.
Application Status:*

New ApplicationYear 2Year 3Year 4
Use Social Media?*

YesNo
If yes, what site is the best one to communicate with you?

Education & Background Information
Name of your school or home school?*
School's Name
CITY:*
City
What Grade will you be entering this year? For example, in August of this year what grade will you be enrolled in?
Areas of Interest & Personal Statement:
List any of your certifications you have or are currently working toward such as Lifeguard, etc.
Briefly summarize community, school or other experiences that will enable you to carry out the responsibilities of a TLT. Describe experience in working with children, the purpose of the experience, your role, and the result.*
Please write 3-4 sentences about yourself. Things you like, where you are from, where you go/ or went to school, any fun facts, hobbies, or anything else you would like to share.*
List three goals you would like to accomplish this Pathfinder year?*

• References • Spiritual, Educational, Character, or Work
REFERENCES: List three (3) persons NOT related to you who can judge your qualifications for this position. If you have previous experience as a TLT then your Pathfinder Director can be one of the references.
First Reference Name:
(preferably a pastor or person who knows you on a spiritual level.)
Phone number

Area CodePhone Number
Reference E-mail:
What is your relationship with this person?
Reference Position Title:
Reference E-mail:
Third Reference Name: (If you have a person who you have worked with or for)
Submission
I understand my application and future participation are evaluated on my performance in Pathfindering and me adhering to the TLT Pledge as well as the Pathfinder Pledge and Law. I agree to participate in the TLT Program as outlined in the TLT Manual and commit myself to developing my Christian leadership potential to its fullest.*

YesNo
Signature

Clear
Use the mouse to draw your signature.
Date*

MonthDayYear
Date
This Application will be submitted to:

Indiana Conference of Seventh-day Adventists Pathfinder Department

15205 Westfield Blvd

Carmel, IN 46032 Phone: 317-844-6201 Ext 1007

Indiana Conference Pathfinders home page
Should be Empty:

Teen Leaders in Training Application