2020-2021Kairos dates: November 19 – November 22, 2020February 25 – February 28, 2021 Which one are you available to lead:* November March Both Name* First Middle Last Home Phone:*Address:* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Student Cell #:*Student Email:* School attending:*(At this time, only Class of 2021 will be eligible) Past retreat participation: Attended a Spiritus retreat Led a Spiritus Retreat Attended a Kairos Retreat Home Parish:* St Anne Are You Catholic?* Yes No If no, what is your religious affiliation, if any* Parent’s Names:* Parent Primary E-mail:* Parent Cell phone #:*Leadership on Kairos Retreat is a serious commitment. All Leaders will be expected to be in attendance at all scheduled meetings. Please be aware of the following attendance and commitment expectations: 5 General Training Sessions (2 hours each), 1 Session of Practice Talks (4 hours) Individual time for writing your talk and meeting with your adult mentor and small group partners The retreat time itself from Thursday afternoon to Sunday evening (you must be able to miss school on Thursday afternoon and all day on Friday) Kairos Leadership goes well beyond the retreat experience itself. In addition to the above expectations Kairos Leaders needs to demonstrate a willingness to participate and assume other responsibilities and leadership roles with in the Saint Anne Youth Ministry programs. Obvious places for this extension of leadership are the Spiritus Retreat and speaking engagements in our PATHS program. All Kairos Leaders are expected to lead ethical lives before, during and after the retreat, respecting drug and alcohol laws. Violations of this could disqualify a candidate from a leadership opportunity. I am familiar with and agree with the above expectations:* Yes No NameThis field is for validation purposes and should be left unchanged.