Peer

Ministry

Application Packet

2015-2016

PPeeeerr MMiinniissttrryy CCoovveennaanntt

Jesus, in his life and ministry, showed us how to live in the world while remaining

dedicated to God.

☼The Peer Ministry Team has chosen to use Jesus and his disciples as the model for Christian

ministry and action.

☼I will commit myself to respect and follow our adult team leaders and to serve on the team

in the manner they request of me.

☼I will help build our community by being consistent in attendance and by treating others as I

would like to be treated.

☼ I desire to follow Jesus. Therefore, I will commit myself to serving others, remembering that

what I do should bring glory to God and not to myself.

☼I will do my best to share the good news of Jesus Christ through my words, prayers, and

especially my actions.

☼I will commit myself to a lifestyle that will be a model to my peers. I will avoid the use of

drugs and alcohol, refrain from profanity, negative talk, and gossip and always dress in a

manner respectful of my dignity (modesty).

☼I will ask for help and assistance should I feel overwhelmed at any point this year.

☼I will maintain respectful and timely communication with the PM Coordinator and fellow

PM’s.

☼I will seek guidance from the Holy Spirit.

PM Signature: Date: ___________________

Parent Covenant

I have read and understand the program requirements of the Peer Ministry Program. I will support and

encourage my child in their ministry and commitment to the process.

Parent Signatures: (1) (2)_____________________________

Peer Ministry

Application

Name: Nick name:

School: Birth date: / /

Your Email: Tee Size: XS S M L XL

Parent’s Email:

Home Address:

City: Zip:

Home Phone: PM Cell Phone:

Please complete the following questions as completely, thoroughly and honestly as possible.

This is not a test. This is an exercise in self-reflection and a tool for me to know you better.

Pease print legibly.

- Why do you want to be part of the Peer Ministry Team?

- Please list and briefly describe two strengths or gifts you would bring to the team.

- Please list and briefly describe two weaknesses or challenges.

- What other extra curricular activities do you plan on participating in this year?

- Do you feel that you will be able to participate fully as a member of the Peer Ministry Team in

addition to the activities listed above? (Please see tentative Peer Ministry Schedule, especially noting

the new addition of the IFTJ weekend)

- Have you talked about this ministry with your parents? Do they support your call to Peer Ministry?

Anything else?

Your Signature:_________________________________________

Tentative Confirmation Team Calendar 2015-2016

Date Time Event Location

SUN, AUG 30 2:00 - 6:00pm Peer Minister Retreat Knight's of

Columbus Center

7:00– 8:30pm Confirmation Team Potluck Neale Room

WED, SEP 26 5:00-6:30pm Peer Minister Meeting Library

7:00-8:30pm Adult Minister Peer Minister

Meeting

Neale Room

SUN, SEP 27 10:15-11:10am Confirmation Orientation Theater

WED, OCT 28 5:00 - 6:30pm Peer Minister Meeting Library

6:30-7:00pm Dinner for Confirmation Team

(ALL PMs and AMs)

7:00– 8:30pm Adult Minister Peer Minister

Meeting

Neale Room

WED, NOV 4 5:00 - 6:30pm Peer Minister Meeting Library

Dinner for Confirmation Team

(ALL PMs and AMs)

7:00– 8:30pm Adult Minister Peer Minister

Meeting

Neale Room

SAT, SUN,

MON, NOV 7-

9

Starts Sat 4 pm

Ends Mon

afternoon

Ignatian Family Teachin for Justice

http://ignatiansolidarity.net/iftj/

Peer Ministers are required to

attend (note that you will miss

school on Monday--we can discuss

this)

Adult Ministers are invited.

8th graders will be encouraged to

attend.

Crystal Gateway

Marriott -

Arlington, VA

(leave from Holy

Trinity)

late Oct. or

Nov TBD

8:00-2:00pm Confirmation Retreat McKenna

WED, DEC 2 5:00 - 6:30pm Peer Minister Meeting Library

6:30-7:00pm Dinner for Confirmation Team

(ALL PMs and AMs)

7:00– 8:30pm Adult Minister Peer Minister

Meeting

Neale Room

WED, DEC 9 6:00 – 9:15pm Confirmation Session 1 Upper School

Cafeteria

WED, JAN 13 5:00 - 6:30pm Peer MinisterMeeting Library

6:30-7:00pm Dinner for Confirmation Team

(ALL PMs and AMs)

7:00– 8:30pm Adult Minister & Peer Minister

Meeting

Neale Room

WED, JAN 20 6:00 – 9:15pm Confirmation Session 2 Upper School

Cafeteria

WED, FEB 17 5:00 - 6:30pm Peer Minister Meeting Library

6:30-7:00pm Dinner for Confirmation Team

7:00– 8:30pm Adult Minister & Peer Minister

Meeting

Neale Room

WED, FEB 24 6:00 – 9:15pm Confirmation Session 3 Upper School

Cafeteria

WED, MAR 9 5:00 - 6:30pm Peer Minister Meeting Library

6:30-7:00pm Dinner for Confirmation Team

(ALL PMs and AMs)

7:00– 8:30pm Adult Minister & Peer Minister

Meeting

Neale Room

WED, MAR

16

6:00 – 9:15pm Confirmation Session 4 Upper School

Cafeteria

WED, APR 13 5:00 - 6:30pm Peer Minister Meeting Library

6:30-7:00pm Dinner for Confirmation Team

(ALL PMs and AMs)

7:00– 8:30pm Adult Minister Peer Minister

Meeting

Neale Room

WED, APR 20 5:00 - 6:30pm Peer Minister Meeting Library

6:30-7:00pm Dinner for Confirmation Team

(ALL PMs and AMs)

7:00– 8:30pm Adult Minister Peer Minister

Meeting

Neale Room

SUN, APR 24 7:15am Confirmation Retreat & Potluck McKenna / offsite

SUN, MAY 1 10:00-2:00pm Confirmation Interviews Parish Center

Library

SAT, MAY 7 11:30-3:30pm

SUN, MAY 1 10:10-11:15am Catechetical Overview :

The Rite of Confirmation

Church

TBD 7:00-8:30pm Confirmation Rehearsal Theater, Church

TBD 7:00-8:30pm Confirmation Rehearsal Theater, Church

Peer Ministry

Parental Release & Emergency Contact Form This form covers all scheduled sessions, gatherings and retreats per the PM Calendar

Name: First: MI: Last:

Address: Home Phone:

City, State, Zip Birth Date: / /

We (I) give permission our (my) child to attend and participate in the Peer Ministry Team events sponsored by

Holy Trinity Catholic Church during the year beginning September 2013 – May 2014. This includes the

Leadership Workshop in September, the monthly team meetings, retreats and any other events sponsored by the

parish/RE Department.

I know that all possible care and safety will be provided for my child during the above-named activity.

Therefore, in granting my permission, I release from all liability and waive all claims against Holy Trinity

Catholic Church, church staff, and church volunteers for any harm to my child that may occur during this

activity, including but not limited to accident, injury, illness, or property loss. I understand that I must pick up

my child at the times indicated.

Parent/Guardian Name (print) Parent/Guardian Signature and Date

CONTACT INFORMATION - PLEASE PRINT

Parent/Guardian 1 Parent/Guardian 2

Name: Name:

Home: Home:

Cell: Cell:

Email: Email

PHOTO PERMISSION

I Grant Permission to Holy Trinity Catholic Church to take and publish pictures of my child on the

church’s web site or in the church’s publicity information, newsletters, bulletins or other printed

material. I further state that I have the right to grant or refuse this permission, as I am the child’s

parent/legal guardian.

YES Initial:

Designated Activity Director: Coordinator, Youth Activities

Activity Authorized by: Judith A. Brusseau, Director Religious Education

HEALTH INFORMATION & MEDICAL RELEASE FORM This information remains confidential.

Child’s Name: First: MI: Last:

Gender M F Birth Date:

Insurance Information (remains confidential)

Insurance Co: ID #:

Policy Holder Name: Policy #:

Group ID #:

Allergies (Environmental, Food, Drug) & Chronic Conditions

Medications your child is taking:

My child may take the following OTC: Circle all that apply Tylenol Ibuprofen Aspirin Other:

Immunization & TB Information

1. Immunizations Up To Date? YES NO 3. Last TB Test Date: / /

2. Tetanus Shot Up To Date? YES NO 3a. TB Result Negative? YES NO

EMERGENCY MEDICAL TREATMENT RELEASE

In the event of an emergency, I give permission to transport my child to a hospital for emergency medical

treatment. I wish to be advised prior to any further treatment by the attending physician.

Parent/Guardian Signature Date

ALTERNATE CONTACT

In an emergency, if you are unable to reach the parent/guardian contact the following:

Name: Relationship to child:

Home Phone: Cell: