20th Annual City on the Hill
Youth Leadership Conference
July 10 - 15, 2007

Staff Information

City on the Hill is a nonprofit organization composed of Christian men and women involved in the fields of Christian ministry, education, business, law, medicine, media and public service - organized for the purpose of sponsoring an educational opportunity, which we call the City on the Hill Youth Leadership Conference.

Highlights of the program include workshops on our Christian heritage, the government of California, grass roots community organizing, the influence of the news media, and career guidance. Fun recreation and entertainment will also be provided in the evenings to give everyone a great opportunity to get to know one another. Participants will tour the Capitol building, conduct a mock legislative session, and meet with members of the California Legislature. The conference will conclude with a special banquet and an inspiring Sunday morning worship service. Staff and students will reside in dormitories located on the campus of the University of California, Davis.

Staff Job Description:
There is no cost for staff members, although they must make their own arrangements for travel to Sacramento. Transportation during the conference, accommodations, meals and program materials are covered by City on the Hill.

A number of staff positions are available each year to help the City on the Hill conference run smoothly. Staff responsibilities will include meeting students at their points of arrival and transporting them to UCD; facilitating small group discussions, both on Bible study and on political topics; monitoring activity in the dorms; chaperoning students during travel around Sacramento; and facilitating the schedule of events. Staff members are required to attend an orientation meeting prior to the arrival of the students at which all responsibilities will be explained in more detail.

Staff member qualifications are as follows:
· Must be a Christian at least 20 years of age (at the time City begins);
· City on the Hill alumni are eligible two years after attending City, i.e. class of '00 can serve this year if they meet the age requirement;
· Must demonstrate an interest in political and religious affairs; and
· Must submit a completed application, two references and a pastoral letter of recommendation by July 1, 2007.

The following items must be completed and returned by July 1, 2007:

Application Form and Essay Questions
Emergency Information
Travel Arrangements Form
Pastoral Letter of Recommendation
Mail to: City on the Hill Youth Leadership Conference
660 J Street, Suite 250, Sacramento, CA 95814
For more information contact Meredith Turneyat
mturney@capitolresource.org or call 916-498-1940.

Part I

Staff Information

Last Name:

First Name:

Middle Name:

Nickname:

Home Address:

City:

State:

Zip:

Phone:
(Required for contact purposes)

Age:

Date of Birth:

E-mail:

Check One: Male Female

Alum? Yes No

Shirt Size: Small Medium Large XL XXL XXXL

Mailing Address (If different from home address):

City:

State:

Zip:

CHURCH INFORMATION

Pastor, Priest or Youth Leader's Name:

Church Name:

Church Address:

City:

State:

Zip:

Phone:
(Required for contact purposes)

Fax:

SCHOOL OR WORK INFORMATION

Name of School or Business:

Address:

City:

State:

Zip:

Phone:
(Required for contact purposes)

If school, what is your degree?

If work, what is your job?

MEDICAL INFORMATION

Name of Health Insurance:

Company or Medical Plan:

Policy Number:

Address of Company:

City:

State:

Zip:

Phone:
(Required for contact purposes)

Name of Policy Holder Member Number

Do you have a family doctor? Yes No

If yes, name:

Phone Number:

MEDICAL HISTORY
Are you currently under a doctor's care? Yes No

If yes, please explain:

Are you currently taking any medications? Yes No

If yes, what kind:

Have you ever had an unfavorable reaction to any of the following medications?
(Check the correct response.)

Penicillin Yes No
Horse Serum Yes No
Novocain Yes No
Procaine Yes No
Antibiotics Yes No
Sulfa Yes No
Other:

Describe any physical condition that would require special arrangements:

 

Part II

Essay Questions

Please answer the following questions on a separate sheet of paper. Answers should contain 50-100 words. Please type or print your answers in ink and attach them to the application.

1. Briefly explain how you became a Christian.

2. How often do you attend church and what is your involvement?

3. Are you involved in a ministry outside of your church? If yes, what is the ministry and how are you involved?

4. Do you have any political experience? If yes, please explain. (Please note that a lack of political experience is not necessarily a detriment.)

If you are a City on the Hill alum, skip questions 5 and 6 and go to number 7.
5. How do you know about City on the Hill?

6. What do you hope to achieve by being a City on the Hill staff member?

Questions 7 and 8 are for City on the Hill alumni.
7. What year(s) did you attend City?

8. Why do you want to return to City as a staff member?

Part III

References

Have your pastor or priest write a letter of recommendation for you. He or she may mail it separately to City on the Hill.

Please provide two references other than family members. Please type or print clearly.

Reference #1

Name:
Address:
City:
State:
Zip:
Home Phone Number:
Work Phone Number:

How do you know this person?

Reference #2

Name:
Address:
City:
State:
Zip:
Home Phone Number:
Work Phone Number:

How do you know this person?

PART IV

Emergency Information

Parent(s) or Legal Guardian:

Address:

City:

State:

Zip:

Phone:

Work Phone:

E-mail:

SECOND CONTACT

Name:

Relationship:

Address:

City:

State:

Zip:

Phone:

Work Phone:

E-mail:

Are you currently under a doctor's care? Yes No
If yes, please explain:

Are you currently taking any medications? Yes No
If yes, what kind:

Have you ever had an unfavorable reaction to any of the following medications?
(Check the correct response.)
Penicillin Yes No
Horse Serum Yes No
Novocain Yes No
Procaine Yes No
Antibiotics Yes No
Sulfa Yes No
Other:

Describe any physical condition that would require special arrangements:

 

PART V

Travel Arrangements

A City on the Hill staff person will meet you at the airport, train or bus station anywhere in Sacramento or Yolo County and transport you to UC Davis. Please fill out this form to help us make efficient arrangements for transporting City students on arrival and departure days. It is your responsibility to keep us informed of any changes in your plans. Contact Karen England at kengland@capitolresource.org or call 916-498-1940 with travel plans, changes or questions.

Plan to arrive by 3:00 p.m. on July 10th and to depart no earlier than 1:00 p.m. on July 15th..

Student's Name:

I have not yet made travel arrangements, but I will contact you to confirm my arrangements. I understand that I must contact you by uuly 1, 2007.

-OR-

I've made my travel arrangements. I will be arriving by:

CAR

I will be dropped off by my parents or friends.

I will drive myself to the conference. Note: If you will be leaving your car on campus during the conference, you will need to buy a UCD parking permit. The cost will be $12 - $15 and is to be paid to UCD when you arrive. Do not send this money to us.

AIRPLANE
Airport of Arrival:
Airline:
Flight Number:
Arrival Time:

Airport of Departure:
Airline:
Flight Number:
Departure Time:

AMTRAK

City of Arrival:
Train Number:
Arrival Time:

City of Departure:
Train Number:
Departure Time:

BUS
Bus Line:
Bus Number:
City of Arrival:
Time of Arrival:

City of Departure:
Time of Departure:
Bus Number :

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Please be sure to include the following items with your application:

A Recent Photograph of Yourself

Completed Staff Application Form

Staff Essay Questions

Two References

Emergency Information

Travel Arrangements

Pastoral Letter of Recommendation from your pastor or priest. He or she may mail this to City on the Hill separately. It must be postmarked by July1, 2007. (There is no form included for this.)

Make copies of the following for your records:

Completed Staff Application Form

Staff Essay Questions

Two References

Travel Arrangements

That's it! Please mail completed application to City on the Hill Youth Leadership Conference, 660 J Street, Suite 250, Sacramento, CA 95814.