new leader checklist and documents welcome leader applicants, · 10/12/2014 · voluntary and may...

New Leadership Checklist & Documents 1 10/12/2014

New Leader Checklist and Documents

Welcome Leader Applicants,

We are an outdoor adventure ministry of Grace Covenant Church. Applying for Leadership within the Troop is a simple

process as outlined below. We welcome you as our guest to visit during our weekly Tuesday meetings while you are

considering Leadership within our Troop. However, participation in monthly outings, including campouts, is limited to

registered Trail Life Leaders and Members only. Positions to serve are not guaranteed or considered official until you

have been offered a Leadership position by our Troopmaster or Committee Chair, as well as our Charter Organization

Representative (COR), and have completed the registration process.

Completing this paperwork is the first step in the process. Upon submission of these completed documents and your

Leadership approval, the Membership Chair will send you an e-mail containing a link to the Trail Life USA registration

portal. Following that link, you will finalize your registration with Trail Life National and pay the $26 membership fee to

Trail Life USA. Please email confirmation of your National registration and fee payment back to the Membership Chair.

You will then be entered into our Troop Database. You will also be required to complete the National on-line Child

Safety Training.

While engaging in the registration process, take a moment to review the Troop Policy & Procedures Manual on our

website at www.TrailLife7777.com. Choose the “More…Troop Resources” tab, and select the “Policy and Procedures

Manual”.

Thank You for your interest in serving in Trail Life Troop 7777 leadership at Grace Covenant Church. If you have any

questions about completing any of these documents, or the status of your application, feel free to contact our

Membership Chair by email at: [email protected]

ALL DOCUMENTS ARE TO BE COMPLETED BY YOU AND RETURNED TOGETHER TO THE MEMBERSHIP CHAIR (Tuesday nights, Room 220).

COMPLETE the following (please, bring two copies of your completed forms):

1. Leadership Commitment form (2 pages)

2. Application for Children and Youth Workers and Background Information Consent forms for Grace Covenant Church (5 pages)

3. Leader Contact Information form (for our Internal Database)

4. Permanent Permission Slip and Authorization to Treat form

5. Health Record and Informed Consent (TL-USA National Document, 4 pages) NOTE: All registered Trail Life members and leaders may be required to provide a current physical signed by a physician in the future. Please retain copies of physicals for future use.

6. Vehicle Information form

7. Leadership Interest and Transfer Request form (if applicable)

Please PROVIDE a COPY of the following:

1. Driver’s license

2. Medical Insurance card

Please DELIVER a copy of the following upon completion (by way of email, drop box at GCC, or by hand):

1. Confirmation of Trail Life USA (National) Registration and payment

2. Certificate of Completion: Child Safety Training provided by Trail Life USA.

mailto:[email protected]


Leadership Commitment (2 pages)

Grace Covenant Church Mission -

Grace Covenant Church is devoted to loving God and people, so that individuals encounter God, are saved, restored,

discipled, equipped and released into ministry for His glory.

Trail Life USA Mission -

To guide generations of courageous young men to honor God, lead with integrity, serve others, and experience

outdoor adventure.

Trail Life USA Oath-

On my honor, I will do my best, to serve God and my country; to respect authority; to be a good steward of creation,

and to treat others as I want to be treated.

Trail Life USA Statement of Faith-

-We believe there is One Triune God – God the Father; Jesus Christ, His one and only Son; and the Holy Spirit Creator of

the universe and eternally existent.

-We believe the Holy Scriptures (Old and New Testaments) to be the inspired and authoritative Word of God.

-We believe each person is created in His image for the purpose of communing with and worshiping God.

-We believe in the ministry of the Holy Spirit, Who enables us to live godly lives.

-We believe each of us is called to love the Lord our God with all our heart, mind, soul, and strength, and to love our

neighbors as ourselves.

-We believe God calls us to lives of purity, service, stewardship and integrity.

Trail Life USA Statement of Values-

Purity--God calls us to lives of holiness, being pure of heart, mind, word and deed. We are to reserve sexual activity for

the sanctity of marriage, a lifelong commitment before God between a man and a woman.

Service-- God calls us to become responsible members of our community and the world through selfless acts that

contribute to the welfare of others.

Stewardship--God calls us to use our God-given time, talents, and money wisely.

Integrity-- God calls us to live moral lives that demonstrate an inward motivation to do what is biblically right regardless

of the cost.

All adults—whether staff or volunteer—must agree to, sign, and adhere to the Statement of Faith, the Oath, and the

Creed of the program when registering as an adult leader.

Trail Life USA Membership Standards and Leadership Position Requirements –

The basis for the program’s ethical and moral standards is found in the Bible. In terms of sexual

identification and behavior, we affirm that any sexual activity outside the context of the covenant of


marriage between one man and one woman is sinful before God and therefore inconsistent with the

values and principles of the program.

Trail Life USA grants membership to adults and youth who do not engage in or promote sexual

immorality of any kind, or engage in behavior that would become a distraction to the mission of the

program.

Trail Life’s goal is for parents and families of every faith to be able to place their boys in a youth

program that endeavors to provide moral consistency and ethical integrity in its adult leaders.

Charter partners own and operate local groups, selecting leaders and admitting members as they deem

beneficial to their group and within the parameters of the national policy.

With the exception of Trailguides who may be 18, adults who serve in leadership must be 21 years old

or older.

Due to the high emphasis on male mentorship in the program, Trail Life USA has placed membership

restrictions on the gender of specific positions.

Personal Leadership Expectations for Adults serving in the Grace Covenant Trail Life Ministry-

Salvation (repentance for sins, belief in Jesus Christ as Lord and Savior and commitment to follow

Him), evidenced by fruit of the Spirit (Galatians 5).

Partner(member)ship and regularly worship with a local Christian church.

Demonstrate commitment to ongoing spiritual growth, including prayer, regular Bible reading, church

discipleship programs and Bible studies.

Serve as a team player, including but not limited to:

- Leading with a servant’s heart

- Upholding Godly standards of conduct and character at all times

- Submitting to church and Troop Committee-appointed leadership

Communicate value and affirm others.

Actively engage in learning opportunities to improve leadership skills.

Complete all training as required by Trail Life USA including “Child Safety” and any training as may be

required by Grace Covenant Church.

Sign and abide by the Trail Life membership standards and the Trail Life Statement of Faith.

Personal interview with Troopmaster, or Troop Committee Chair, and Charter Organization

Representative

A Pastoral letter of recommendation is REQUIRED for all those Ministry Leadership Candidates who are in

Partner(member)ship and regularly worship with a local Christian church OTHER than that of Grace Covenant Church.

Please have your current home church submit a letter of recommendation to our Charter Organization Representative

(COR) in order to be considered for Troop Leadership.

COR/Pastor Scott Raney, Grace Covenant Church, 17301 Statesville Rd, Cornelius NC 28031

As a leader within the ministry of Grace Covenant Church, through Trail Life Troop 7777, I agree with and commit to uphold the

ministry leadership commitments of the church and of Trail Life USA as outlined above. I also agree that I have read the Troop

Policy Manual, located on the troop website, www.TrailLife7777.com, and am willing to accept and abide by these policies.

__________________________________________________ ___________________________________________________

Print Name Signature & Date

_________________________________________________________

Current Church

__________________________________________________ __________________________________________________

Troop Committee Chairman or Troopmaster Signature & Date

Charter Organization Representative Signature & Date


Leader Contact Information

LEADER INFORMATION:

Date ____________ Leader’s Full Name ___________________________________________________

Nickname (if applicable) __________________ Current Church: ______________________________________

Full Address (include city & zip) _______________________________________________________________________

___________________________________________________________________________________________

Driver’s License State & Number: _______________________Date of Birth (MM/DD/YY): _______________

BSA Member ID# (if transferring) ____________________ Gender: Male/Female (please circle)

LEADER PHONE NUMBERS (Please list in the order you prefer us to use for contact):

1ST Number: (_____) _________-__________________

2ND Number: (_____) _________-__________________

3RD Number: (_____) _________-__________________

LEADER EMAIL ADDRESSES (May have up to two which the leader will use to send and/or receive Trail Life Leader communication)

1st Email: ___________________________________________________________________________________

2nd Email: __________________________________________________________________________________________

SPOUSE: _________________________________________

SPOUSE’S CONTACT NUMBER’S (Primarily in case of emergency or urgent need to contact you):

1ST Number: (_____) _________-__________________

2ND Number: (_____) _________-__________________

For Internal Use Only:

Unit Position(s) Leader will be responsible to serve: _______________________________________________________________________

_________________________________________________________________


Permanent Permission Slip & Authorization to Treat

Name: _________________________________________________________

Youth (under age 18) - Please circle one: Registered Trailman OR Trail Life Troop 7777 Guest Adult (18 and older) – Please circle one: Registered Trail Life Adult OR Trail Life Troop 7777 Guest

I, the undersigned, give my child (myself if adult), __________________________________, permission to participate and attend Trail Life Troop 7777 meetings, activities and campouts, with the understanding that participating in Trail Life events is entirely voluntary and may pose risks of unforeseen hazards, accident, or injury. In the event of a medical or dental emergency, illness, or injury, every attempt will be made to contact the persons listed as emergency contact on the Health Record and Informed Consent. My child (or I) has (have) a chronic medical condition of _________________________ that requires regular medication. I will ensure that my child (or I) has (have) all proper medication for the duration of Trail Life functions. I grant my permission to Adult Leaders of the Troop to use his/her discretion to provide First Aid and emergency care in the event of an accident, pending arrival of a physician, or for removal from the area of activity by car or other emergency vehicle, and in the exercise of said care and/or discretionary action, we release the Adult Leaders of all liability, legal or otherwise for the emergency medical care. I grant my permission to the Adult Leaders of the Troop to provide for and administer life-saving techniques, equipment, or medications, in the event of an unforeseen life-threatening situation or imminent peril. I also hereby give my consent to the physician or dentist selected by the activity leader to provide and perform all necessary medical procedures (including, but not limited to hospitalization, x-ray examination, surgery, injections, test, or medications) in order to protect by child’s life (myself if adult) or prevent harmful deterioration in condition. I also authorize medical providers to disclose to the Adult Leaders the results of any findings, tests, examination or other treatment, for the purpose of medical evaluation, communication with parents, or otherwise to enable the Adult Leaders to make the decisions hereby assigned to them. Any of the Adult Leaders of Trail Life Troop 7777 are further authorized to consent to medical procedures on my behalf. I understand all reasonable safety precautions will be taken at all times by the Adult Leaders of Troop 7777. I agree not to hold Trail Life Troop 7777, Grace Covenant Church, its leaders, employees and volunteer staff liable for damages, losses, diseases or injuries incurred through the participation in any Troop activity or Troop trip. I give my permission for my child (myself) to ride in the car with Adult Leaders and parents as needed to engage in Troop activities or Troop trips. I relieve all drivers of liability on the trip, and will not make any monetary or other claim against Troop 7777, or their drivers, for accidents or injuries that may occur while riding in an automobile. In consideration of the benefits to be derived from participation in Troop trips and activities, any and all claims against Trail Life USA, Troop 7777, and the chartered organization or against the officers, employees, agents, or other representatives of any of them, or any other persons working under their direction or engaged in the conduct of their affairs, arising out of any accident, illness, injury, damage, or other loss harm to/or incurred to his or her property, in connection with or incidental to the trip or activity, including preliminary training and travel, are hereby expressly waived by the applicant and the applicants family or guardians. I further understand that as a parent or guardian (or self), assume all responsibility for behavior and agree to abide by all Trail Life guidelines, rules and laws. I understand that failure to abide by these guidelines may result in dismissal from the activity at my own expense and any costs of damages incurred. __________________________________________________ ______________________________________________ Printed Name of Parent/Guardian (myself if adult participant) Signature of Parent/Guardian (myself if adult participant) Date_____________________

This section for Internal use only: Membership Chair to complete this bottom section and to update regularly as necessary. This will serve as the cover sheet kept with the Health Record and Informed Consent form that must be submitted to the Troop for any and all youth and adults to participate in Trail Life Troop 7777 activities.

ALLERGIES & RESTRICTIONS:

YES NO ALLERGIES to, or

adverse reactions to:

Medication

Food, plants, or insect bites

Participation: Without restrictions With Special considerations or restrictions. See Attached Health Record and Informed Consent for specifics of any item above.

Health Record & Informed Consent Updated REQUIRED FOR ALL PARTICIPANTS. VALID FOR 12 CALENDAR MO. 1.Date_________ 5.Date_________ Expires:________ Expires:________ 2.Date_________ 6.Date_________ Expires:________ Expires:________ 3.Date_________ 7.Date_________ Expires:________ Expires:________ 4.Date_________ 8.Date_________ Expires:________ Expires:________

Annual Physical-Optional

1.Date_________ 5.Date_________ Expires:________ Expires:________ 2.Date_________ 6.Date_________ Expires:________ Expires:________ 3.Date_________ 7.Date_________ Expires:________ Expires:________ 4.Date_________ 8.Date_________ Expires:________ Expires:________


Vehicle Information

*This information is required for ALL parents and leaders. While it is obvious that a leader will typically be the

driver for most Trail Life Activities, occasions may arise when parents will want to participate in the event or

will choose to drive the Trailmen to the event. This will allow flexibility on the part of the parents and the

Troop without having to obtain this information at the last minute. Should your vehicle information change,

please notify the Membership Chair at [email protected].

Adults authorized to drive the below designated vehicles and covered by the respective insurance information below:

Adult #1 ________________________________________________________

Adult #2 ________________________________________________________

Adult #3 (if applicable) _______________________________________________________

Vehicle Information

Vehicle #1 (Year, Make, Model): ___________________________________________________________________

License Plate #: ________________________ # Belts: _________ Hitch: (Yes / No)





Insurance Information Auto Insurance Provider/Company: ________________________________ INSURANCE (In Thousands):

Per Person _______________________ Per Accident ____________________ Property __________________

I certify that the above information is correct. ______________________________________ (Leader / Parent signature)

Date ____________________

For future use only:

Current and Accurate as of (MM/YY) – Please initial annually when all information has been verified.

(______/______) _______ (initial) (______/______) _______ (initial) (______/______) _______ (initial) (______/______) ________ (initial)

mailto:[email protected]


Leadership Interest and Transfer Request

Leadership Interest and Transfer Request

Name: ________________________________________ Date: ______________________

Occupation: _________________________

Circle Individual Strength(s)/Talent(s)/Gifts: Religious Mentorship, Supervisory Leadership, Administrative

Positions, Training, Finance, Elementary Age Leadership, Middle School Leadership, High School Leadership,

Camping, Special Events Coordination, Fundraising, Safety, Supply Procurement, Advancement, Membership,

Service Coordination, Vehicle/Trailer Repair, Equipment/Gear Management, Other ______________________

Specific Hobbies, Interests and/or Talents (for potential Trailmen instruction): ________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

Procedure For Transfer (This section is for BSA leaders transferring to Trail Life Troop 7777.)

1. All BSA Awards, Certifications/Training records would be issued from the current or former BSA Unit or from your own records.

2. Additionally, leaders may request their BSA Training/Certification/Special Awards records from their local BSA Council or through their own account at myscouting.org. (Leaders may feel compelled to do this on their own, before the end of the BSA

Troop’s charter year, when those records may no longer be accessible.)

3. Leader presents this transfer form along with copies of any BSA records to Trail Life 7777 Membership Chair.

4. The Membership Chair will assist you in the transfer of credit for Training/Certification/Special Awards where possible. (Questions may be directed to [email protected])

Information about Unit That Member Is Leaving: Pack, Troop, Crew (circle all that apply) # ____________

Highest Youth Rank Achieved ___________________________

Present Scouting Position (if applicable) ____________________ Start Date: ___________ End Date: _________

BSA Leadership History *Please list date where date is known.

Leadership Rolls held within BSA: ______________________________________________________________ __________________________________________________________________________________________ Badge Counselor Experience: _________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ Offices Held: _______________________________________________________________________________ __________________________________________________________________________________________ Training History: ____________________________________________________________________________ ____________________________________________________________________________________________________________________________________________________________________________________ Certifications/Awards/Honors Secured: _________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________

I certify that the above information is correct. __________________________________ Date _________