lead | OneLife Africa Application Portal

OneLife Africa Leadership, Evangelism and Discipleship Program(LEAD)

PART A: INSTRUCTIONS

LEAD Africa Is a 3 months residential program with a 9 months discipleship and mentorship follow up for high school graduates who seek to grow in their love and knowledge of Jesus Christ, discern God’s calling for their lives and be equipped to engage in God’s mission for the world.

1. Growing with God’s people

The first three months will be spent living with others in a residential community at OneLife Africa youth Campus opposite Kabarak University, Nakuru Kenya. This three months will be spent in learning basic life skills like computer training, budgeting, computer training etc. the goal of this component will be to produce theologically nature and professionally competent student leaders.

2. Serving for God’s glory

The students will be challenged to take seriously the greatest commandment Love your neighbor as yourself and offered opportunities to demonstrate God’s love by serving others for God’s glory.

3. Going into God’s World

As believers we are commanded to be God’s witnesses of the saving Grace if God. This is a command that we are called to take seriously. Students will be equipped with skills to go into God’s world by crossing barriers to share the gospel of the saving grace of God with the last, the lost and the least of these. The command is for all of us regardless of the vocations that God may call is to.

PART B: PERSONAL INFORMATION

Name*

First

Middle

Surname

Gender*

Male

Female

Mobile No*

Primary phone number

Alternative Phone Number

County*

Sub-County*

Ward*

PART C : ACADEMIC INFORMATION

Details of Academic Information

Name Of High School Attended*

Postal Address*

County*

Location*

Postal code*

Sub-County*

Sub-Location*

Year Sat For KCSE*

Have You Attempted KCSE in Previous Years?*

Yes

Which Year?*

Prior KCSE Results*

PART E : GUARDIAN INFORMATION

(If Both Parents are Deceased)

Name*

First

Middle

Last

Relationship With The Applicant*

How are you related with your guardian

APPLICATION QUESTIONS

Please answer all of the following questions as completely as possible.

How are you involved in serving others in your family, community, church and school?*

What person do you most admire and why (not a relative)?*

What are/were your favorite subjects in school, and If you could learn a job/trade/career what would it be?*

What is your definition of success?*

Will you be available to meet the time demands of the Holiday mentoring program?*

Have you experienced any traumatic events (i.e Death in the family, abuse, divorce)?*

Yes

Have you ever been suspended or expelled from school?*

Yes

Please Specify*

Which Extra-Curriculum activities are you involved in? *

LEGAL INFORMATION:

Have you ever been a member of an outlawed gang/Terrorist group? *

Yes

Are you currently a member of an outlawed gang/Terrorist group?*

Yes

Have you ever been convicted of any criminal offense? *

Yes

Are you currently on probation or parole? *

Yes

MEDICAL INFORMATION:

Overnight stay in the hospital in the past 6 months?*

Yes

Date*

Diagnosis*

Present medical conditions or daily medications?

Please don't fill if not available

Allergies to medications or foods?

Please don't fill if not available

Have you ever been treated for diseases or conditions which may put others at risk?*

Yes

Please Specify*

Do you have Health Insurance, either private or public?*

Yes

Insurance Company Name*

Card#*

SPIRITUAL INFORMATION:

Which statement best describes your present spiritual status?*

I do not believe in God; I am an atheist.

I am a follower of a non-Christian religion.

I follow Christian teachings but I’m not born again Christian.

I have received Jesus Christ as my personal Lord and Savior.

Please Specify*

What church did you grow up in? *

What church do you belong to now?*

OneLife Africa Privacy Notice

Please Read Our Terms And Condition Carefully

OneLife Africa Mentorship Program – Privacy Notice OneLife Africa administers both manual and computerized record-keeping system that captures information about everyone who is applying or is enrolled in our programs, including their family & personal needs. The information helps us better organize, support & deliver helpful services to the applicants, enrolled students and their families. Our goal is to maintain and provide accurate information on a need-to-know basis. Information you provide can play an important role, including:

Helping us prioritize, plan and provide meaningful services to you and your family;
Assist our organization to improve its work with at-risk young people and their families;
Allow local and international agencies to work better together to serve the vulnarable;
Provide statistics for local, regional, national and international policymakers to set strategic goals.

IMPORTANT POINTS ABOUT HOW YOUR INFORMATION WILL BE USED

OneLife Africa will keep both manual and electronic records of your program involvement and progress.
Most of your information will be kept confidential and only shared with partner organizations on a need-to-know basis. The information the agency will share consists of basic demographic data including your name, date of birth, permanent address, Identity number (optional), photographs/video footage, stories, gender, and family status.

HOW WILL MY INFORMATION BE KEPT SECURE?

OneLife Africa will always strive to make sure that your information is kept safe and secure by:

Ensuring that all the electronic and computer programs we use have the highest degree of security protection available;
Any private information we have about you, such as your address and identification number is viewed only by people working to provide services to you and will be removed before reports are issued to local, national, and international governmental agencies.
Ensuring that all OneLife Africa employees/volunteers handling your information receive training in privacy protection and agree to follow guidelines before using the system.

OUR COMMITMENT TO YOU

As a parent, guardian or mentee receiving services from OneLife Africa, by request you can:

Access your record: Through a written request, we will allow you access to your OneLife Africa record in not more than 21 business days. We will prepare a report of your records or assist you in viewing and reviewing them.
Correct your record: We welcome regular corrections/update to your record so that information is up to date, accurate and ensures honesty in its use.
Refuse consent: You have a choice to refuse consent. You cannot be denied services that you would otherwise qualify for if you refuse to sign the OneLife Africa general consent form. Please note that if you refuse OneLife Africa consent, your information will still be entered into the system for statistical purposes, but all of your information will be closed so that no other partner organizations will have access to it.
Withdraw the Release of Information: You can withdraw this agreement at any time upon written request. Please note that all existing promotional materials with your profile may not be modified.
Grievance: We are available to listen to you if you feel that you have been unjustly served, put at personal risk, or harmed in any way. Employees/volunteers of OneLife Africa that misuse information or betray your trust are subject to reprimand, warnings, and summarily dismissal.

FINANCIAL INFORMATION

This program is highly subsidized but we may request the parents or guardians to support the students by offering 21,000 which will all go towards the food expenses during the program duration 7,000 per month.

I agree to the terms & conditions

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OneLife Africa Leadership, Evangelism and Discipleship Program(LEAD)

PART A: INSTRUCTIONS

LEAD Africa Is a 3 months residential program with a 9 months discipleship and mentorship follow up for high school graduates who seek to grow in their love and knowledge of Jesus Christ, discern God’s calling for their lives and be equipped to engage in God’s mission for the world.

1. Growing with God’s people

2. Serving for God’s glory

3. Going into God’s World

PART B: PERSONAL INFORMATION

PART C : ACADEMIC INFORMATION

PART D: APPLICANT FAMILY INFORMATION

PART E : GUARDIAN INFORMATION

PART F : FINANCIAL INFORMATION

APPLICATION QUESTIONS

LEGAL INFORMATION:

MEDICAL INFORMATION:

SPIRITUAL INFORMATION:

OneLife Africa Privacy Notice

This program is highly subsidized but we may request the parents or guardians to support the students by offering 21,000 which will all go towards the food expenses during the program duration 7,000 per month.