APPLICATION PACKET

February 3, 2008

RE: Summer ’08 Missions with the Center for Student Missions (CSM)

Dear Students & Parents,

You hold in your hands a packet of information detailing this summer’s missions opportunity for
the students of North Hills Church. May you be empowered as you prayerfully consider
participating in a trip this Summer.

Both missions trips – the Jr. High trip to urban Los Angeles, and the High School trip to urban San
Francisco – will be run in conjunction with the Center for Student Missions. CSM is a Christian
organization, whose missions is to provide an effective urban ministry experience that
transforms lives, influences churches and communities, and honors Christ. I invite you to
check out the CSM website (www.csm.org), as well as to read in this packet about what the week
with CSM will look like for our group.

Our goal at North Hills Youth is to continually challenge our students to be the “hands and feet” of
Jesus in the world. We want them to recognize that their choice to follow Jesus involves them in
his call to love the widows, orphans and oppressed. That is his heart. And we want our students
to develop similar kinds of passion for the poor, homeless and marginalized. With this in mind, it
may be helpful for you to understand that this is a very service-oriented trip. CSM provides all
the groundwork because they have a permanent presence within the city. Our intention is to come
alongside them and make ourselves available to be used in whatever capacity (from prayer-
walking parts of the city, to running a VBS at an after school program, to serving food at a soup
kitchen, etc.). We are praying for God-type moments of interaction with people who need to know
the love of Jesus.

We will be living in the city—experiencing firsthand the sights, sounds, smells, and textures of
urban life. We will also be eating at local ethnic restaurants and cafes, getting a taste for the
uniqueness of different cultures. We’ll also be learning about the city—what it’s really like
(positives as well as negatives), who lives there, the issues and problems within the city, what
God is doing to foster and further His Kingdom in the city through the indigenous local churches,
homeless shelters, neighborhood centers, and other organizations that operate on the front lines of
urban ministry.

Your next step: read through this packet and begin to pray about your involvement. Applications
are due on Sunday, February 17. After all applications have been submitted, students will be
asked to participate in a short, personal interview with the team leaders. Should you have and
questions or concerns, please feel free to contact me.

Blessings,

Brenton Fessler
Youth Pastor
Brenton@breanhc.org
road trip of details:
July 6 - 12
Where:
San Francisco
California
How much:
$599 (includes: 6-nights of lodging, meals,
supplies, ground transportation & parking)
*Students will need to bring money
for food on the drive up and drive back.
Why:
Two of the five purposes of North
Hills Youth are to SHARE the love
of Jesus and CARE for others. That
will be the mission of this Missions
Trip. The other three purposes
(worship, discipleship & fellowship)
will be incorporated in other various
activities on the trip.
What:
We will be
working with the
Center for Student Missions
(www.csm.org), a Christian organization
which focuses on urban ministry by partnering
with local groups, churches, and charities
to practically share the love
of Jesus to the people of
San Francisco.
Accommodations:
Groups staying in SF are housed at 1st Baptist
Church in the Lower Haight neighborhood of SF.
Groups staying in Oakland will be at either
Harbor House Ministries or ReGeneration
Church, both of which are in the San Antonio
neighborhood of Oakland. This is where we will
sleep, shower, & eat breakfast. Regardless of
which housing site we are at, you will serve in
and experience both San Francisco and Oakland.
The Next Step:
Take this application packet
home and fill it out. You will need
your parent(s) to fill out the enclosed
Parental Consent Form. Turn both
forms back in to North Hills Church by
Sunday, February 17, 2008. This is NOT
a first-come, first-served event. After
applications are turned in, interviews will
be on the afternoon of Sunday, March 2.
There are limited spots; the team
will be selected based upon
the applications and
interviews.
San Francisco draws visitors and residents from all over the world to take in its beautiful architecture, incredible
views, and diverse culture. Mention “The City by the Bay” and people think of Fisherman’s Wharf, the Haight-
Ashbury neighborhood, Alcatraz, the 49ers football team & the Giants baseball team, and cable cars.

The romance that draws people to the city can turn into despair and pain for many. The homeless population
grows daily, as outrageous housing costs box even middle class families out of the housing market. Thousands
of people live a paycheck away from the streets...

Looking through Jesus’ eyes at the people and issues

that make up San Francisco, we see great hope for
the future of San Francisco and her people. Jesus is
alive and well in the city! Both small and large
organizations, church communities, and followers
of Christ seek daily to alleviate the suffering and
shine God’s light in very dark places.

INSIGHTS ON THE CITY

?
DID YOU KNOW THAT...
• Between 6,000 and 15,000 people in San Francisco are homeless, a number that
has decreased in recent years. According to the San Francisco Chronicle, San
Francisco has the highest per capita homeless population in the US.
• The children attending San Francisco public schools speak more than seventy
languages.

a WORD about the $599 price:

Since this is a missions trip, we want our students to embrace their role as a missionary. And just
like regular missionaries, we will be encouraging students to 1) Raise support from family and
friends, and 2) Make personal sacrifices. It is perfectly appropriate for students to save money
given for birthdays, or graduation, or what they’ve earned from jobs they keep, etc. Plus, Letters
of Support can be sent to family and friends (outside of NHC), inviting them to be a part of how God
has called and is using our students. More information about this will be discussed after the team
has been chosen. If you have any questions or concerns, please talk to Brenton.
What is The Center for Student Missions?
information for parents about CSM:
CSM provides ministry opportunities to serve the world’s fastest growing mission field. With the
population explosion in and around the world’s urban centers, cities are quickly becoming the world’s
largest (and most complex) mission field. CSM provides groups an opportunity to serve through local
ministries that have a year-round presence in their specific communities.

CSM handles the details, you get to serve. As a leader or group member you will be joined by one of
CSM’s resident staff on your trip. They handle the specific details (from directions to meals) while you
have the opportunity to wholeheartedly serve.

CSM provides a long-lasting experience during a short-term trip. CSM staff lives year-round in the city
they serve. They’ve formed relationships with the ministries we partner with and you become the vital link as
these ministries depend on the volunteers CSM provides to remain a vibrant presence in their communities.

CSM’s service projects are working with people. When serving in the urban center with CSM you will
be coming alongside ministries that focus on serving people. Whether you’re serving food at a homeless
shelter or playing with children at an after-school program, you will be cultivating relationships throughout
your entire trip.

CSM allows you to not just serve the city, but to learn about who you are serving. By participating
with CSM you will have many opportunities to learn about just who you are serving. By becoming better
informed we can better know the needs of the city and, in turn, learn where we can best serve the
individuals in the city.

CSM provides training and follow up to all of its groups. We believe that both pre- and post-trip training are
crucial – not only for the trip to run smoothly, but that participants would be personally changed as they serve.
CSM provides in-depth training materials for both before and after your time of service, free of charge.

CSM allows participants to experience the rich cultures that make up the city. Groups have the
opportunity to serve at ministry sites and eat at different ethnic restaurants that expose them to the
multitude of cultures that make up the city. Experience brings understanding.

CSM provides an experience that changes the trip participant and the people being served. Our
goal is for each person who serves with CSM to leave not only more aware of the needs and issues of the
city, but also with a heart to serve those that are lost and less fortunate. Awareness brings empathy.

CSM Statement of Faith :: We believe…

• the Bible to be the inspired, the only infallible, authoritative Word of God.
• there is one God, eternally existent in three persons: Father, Son and Holy Spirit.
• in the deity of our Lord Jesus Christ, in His virgin birth, in His sinless life, in His miracles, in His vicarious and
atoning death through His shed blood, in His bodily resurrection, in His ascension to the right hand of the Father and in
His personal return in power and glory.
• that for the salvation of lost and sinful people regeneration by the Holy Spirit is absolutely essential.
• in the present ministry of the Holy Spirit by whose indwelling the Christian is enabled to live a godly life.
• in the resurrection of both the saved and the lost; the saved unto the resurrection of life and the lost unto the
resurrection of damnation.
• in the spiritual unity of believers in our Lord Jesus Christ.
 CSM Ministry Site Sampler :: Due to the smaller size of the city and
ministry sites, San Francisco teams will be divided into small groups and
Salvation Army Tenderloin Central Corps Laguna Honda Hospital is a long term care
serves the people of San Francisco’s Tender- facility for individuals needing medical care.
loin District. “The Tenderloin” is an eight-block Our groups will work with the residents by
area that is home to many elderly, immigrant leading an aerobics class, playing balloon
families, homeless individuals, and most of San volleyball, wheeling the residents to special
Francisco’s SRO’s (single room occupancy) events at the hospital, and if your lucky,
hotels. CSM works primarily with the After helping with a field trip! Often times our best
School Program and the Summer Day Camp. service to the residents is to just listen and
Groups will be asked to help get the children care.
from school, help out with homework, play a
game of dodgeball, and generally encourage
the children that attend the program.

Project Open Hand delivers hot meals and City Team Oakland is a ministry that provides
groceries daily to over 2,000 people living with hot meals, safe shelter, showers, and clean
HIV and AIDS in San Francisco and the East clothing to the homeless. There is a residential
Bay. CSM volunteers help prepare meals in recovery program for men that struggle with
the kitchen, shop for clients in the Grocery drugs and alcohol, as well as a new learning

will rotate ministry sites throughout the week.

Center, and deliver meals on daily routes. center to meet educational needs for men and
women in the neighborhood. CSM volunteers
assist with a variety of services that include:
bringing groceries to those in need, helping
prepare/serve meals, and providing a Friday
night chapel service for men in the program
and homeless from the community.

The Haight Ashbury Food Program serves Society of St. Vincent de Paul of Alameda
a lunch meal four times a week for any needy County is a non-profit organization that is
person. A majority of their clients are runaway dedicated to helping those in need. CSM
teens drawn to San Francisco by the romanti- volunteers could be helping at the thrift store,
cized tales of the Haight Ashbury during the the dining room that serves 1,000 meals each
"Summer of Love" of the 1960's. CSM volun- day, or a drop-in center that provides
teers help prepare and serve the meal and have assistance for homeless and low-income
the opportunity to sit and talk with guests. women and children.

St. Vincent's Day Home is a non-profit Alameda Food Bank is one of Alameda's
organization, located in West Oakland, that primary social service organizations that
provides comprehensive programs for toddlers consistently provides nutritionally balanced
and pre-schoolers, a licensed full-day kinder- groceries to low-income residents on a
garten, and before-and-after school programs non-discriminating basis at no cost to the
for older children. St. Vincent's serves recipient. In addition to the food distribution
primarily single parent families who struggle at program, the food bank acts as a comprehen-
or below the poverty line. CSM volunteers have sive information and referral service for
a great time assisting the classroom teachers clients. CSM volunteers will most likely be
in playing with the kids and helping the kids sorting and packaging the food so it can be
learn new skills. efficiently distributed.
s t u d e n t A P P L I C AT I O N
Instructions
• Complete the application. (Be sure to sign and date it.)
• Ask your parents to complete the parental consent form.
• Return the application and parental consent form to Brenton Fessler @ NHC by Sunday, February 17.

PERSONAL INFORMATION

Name (last, first, middle)________________________________________________________________________

Address ____________________________________________________________________________________

City________________________________________________________ State ________ Zip ______________

Phone (_____)___________________ Birthdate (mm/dd/yyyy) ___________________________ Age _________

Birthplace ______________________________________________________________ State _______________

Grade/Year in School ______________________ School ______________________________________________

Email address ________________________________________________________________________________

FAMILY INFORMATION

Father’s name _______________________________________________________________________________

Mother’s name _______________________________________________________________________________

Home address _______________________________________________________________________________

City________________________________________________________ State ________ Zip ______________

Home phone (_____)_____________________________ Work phone (____)____________________________

HEALTH INFORMATION
1. Do you have any known allergies? aYes aNo If yes, explain: _______________________
_________________________________________________________________________________
2. Are you currently taking medications?aYes aNo If yes, explain: _______________________
________________________________________________________________________________
3. Will you be willing to eat whatever food you are served? aYes aNo If no, explain: _____________
___________________________________________________________________________________
OTHER INFORMATION
Will you make yourself available for missions trip Team Training on the weeks leading up to the trip? [the schedule
will be determined after the team has been selected]
aYes aNo If no, explain:_______________________________________________________
____________________________________________________________________________________
Special skills, abilities, or musical talents. _______________________________________________________
___________________________________________________________________________________________
__________________________________________________________________________________________
Spiritual Information
1. Have you accepted Jesus Christ as your personal Savior?_______ What does that mean?_________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
2. Please describe your involvement at North Hills Church. ______________________________________
__________________________________________________________________________________
____________________________________________________________________________________
3. Have you ever participated in a previous missions trip? Or had any cross-cultural experience? Please
describe:____________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
4. Why do you want to participate in the 2008 San Francisco Missions Trip? _____________________________
___________________________________________________________________________________
____________________________________________________________________________________
5. What would you say to one of your friends at school when they ask you why you are giving up a week of your
summer to go on a missions trip with your church? ______________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
___________________________________________________________________________________
6. Find a verse or passage in the Bible that talks about God’s attitude toward the poor, widows, orphans or
oppressed (do a Google search if you need to) : _________________________ Can you explain, in your
own words, what this verse/passage means? _________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
7. Each student will need to raise $599 to accomplish the goals for this missions trip. Are you willing to
commit to help raise the funds required for this trip?
aYes aNo If no, explain: ______________________________________________________________

I certify that all the above information is true and I have answered each question completely and honestly. I also understand
my application will be reviewed for approval, followed by an interview to determine my participation in this event.

Signature __________________________________________________________________________________

Print Name ____________________________________________________________ Date _______________

parentalCONSENT•FORM
(for those under the age of 18)

Parents and legal guardians of minor children must complete this form and
return it along with your child’s application form to Brenton Fessler @ North
Hills Church. The information requested is designed to assist North Hills Church
in providing for the safety of minors during church-sponsored activities.

Medical Release - Conformed to California Law

I, _________________________, am the parent or legal guardian of _____________________,

(Name of Parent or Guardian) (Name of Minor)

hereinafter, “my child”, who was born on ____________, ________. My child is attending and
participating in activities with North Hills Church (hereinafter, “camp,” “church,” etc.), located at 3000 E.
Birch Street, Suite #106, in the city of Brea, county of Orange, and state of California, beginning on the
day of _________________.

Brenton S. Fessler
I hereby authorize ____________________________________ and his/her officers, agents, servants, or
(Supervisor/pastor/director)

employees who are 18 years of age or older, who supervise the activities at North Hills Church, into
whose care my child has been entrusted, to consent to medical care or dental care, or both, for my child
under Sections 6901, 6902, and 6910 of the California Family Code. The authority granted by this
authorization includes the authority to consent to any x-ray examination, anesthetic, medical, or surgical
diagnosis or treatment and hospital care under the general or special supervision and upon the advice of
or to be rendered by a physician and surgeon licensed under the Medical Practice Act for my child. This
authority also extends to any x-ray examination, anasthetic, dental or surgical diagnosis or treatment and
hospital care by a dentist licensed under the Dental Practice Act for my child.

Brenton S. Fessler
I further authorize ____________________________________ and his/her officers, agents,
(Supervisor/pastor/director)

servants, or employees who are 18 years of age or older, who supervise the activities with North Hills
Church to receive physical custody of my child, under section 1283(a) of the California Health and Safety
Code, upon completion of any treatment, and I specifically instruct any treating health facility to surrender
Brenton S. Fessler
physical custody of my child to _________________________ and his/her officers, agents, servants,
(Supervisor/pastor/director)

or employees who are 18 years of age or older who supervise the activities with North Hills Church.

It is understood that this authorization is given in advance of any special diagnosis, treatment, or hospital
care being required, but is given to provide authority and power on the part of the supervisor and his/her
authorized designee, in the exercise of his/her best judgment on what is advisable for my child’s care,
upon advice of such physician, dentist, and surgeon.

Dated _______________, 20______ ___________________________________________

Signature of Parent or Legal Guardian
- over -
 ADDITIONAL INFORMATION

____________________________________________________________________
Parent/guardian name

________________________________________ ____________________ _________ ______________

Address City State Zip

___________________________________ __________________________________
Home Phone Work Phone

______________________________________________________ ___________________________________
Medical/Health Insurance Company Insurance Policy Number

______________________________________________________ ________________________
In case of emergency notify: Relationship to Minor

___________________________________________________________________________________________
Allergies/allergic reaction of my child

___________________________________________________________________________________________
Medicine being taken by my child

___________________________________________________________________________________________
Other information regarding my child’s health that a doctor should know

Has he/she had: Yes No Yes No

An attack of appendicitis c c Heart Trouble c c
Asthma or Hay fever c c Severe Allergies c c
Hernia (rupture) c c Scarlet fever c c
Rheumatic fever c c Significant disease, injury c c
Diabetes c c or operation
Does he/she take insulin c c Is he/she under medical care c c
requiring medication
Is he/she subject to: Is his/her activity restricted c c
Sinus Trouble c c due to medical reasons
Fainting spells c c Poison ivy, oak, or sumac c c
Ear Trouble c c Reaction to Penicillin c c
Convulsions c c Nervousnous or easily upset c c
Poliomyelitis c c
Last Tetanus shot date: ________

I understand that North Hills Church, or any of their agents, employees, or volunteers, will not be responsible for medical expenses incurred on the
basis of this authorization. I agree to notify North Hills Church in the event of any health changes which would restrict our child’s participation in
any activities. I also understand that the adult church representatives reserve the right to restrict our child from any activity that they do not feel
is within the physical capabilities of my child.

___________________________________________________________________________________________________________________________________________________________________________________________________________
Signature of Parent or Legal Guardian Date