Intern Application Form

Full Legal Name

First NameMiddle NameLast NameSuffix

Any other names?

Birth Date

MonthDayYear

Phone Number:*

Area CodePhone Number

Can you receive texts at the phone number listed above*

YesNo

E-mail Address:*

Address*

Street Address

Street Address 2 (if needed)

CityState / Province

Postal / Zip Code

Driver's License State and Number:

ie: MI A 101 202 303 404

Upload Resume: (Not mandatory)

Upload Picture (Not mandatory)

What is your work experience? (current/former jobs and years of employment. If you're submitting a resume above, please type "see resume" - no need to retype everything.)*

What experience do you have working with little children ?*

Tell us briefly about your faith journey.*

How would you communicate the love of God to little children and their parents/families ?*

Do you have any convictions or pending legal charges? (Please note that we will run a background check, and would rather hear upfront from you about things the background check will reveal.)*

Are you willing and able to do two hours of online training on protecting children and vulnerable persons? (this is required by our insurance policy - training is paid.)*

YesI am willing, but don't have online accessNo

Do you authorize Saginaw First UMC to conduct a confidential background check? 'Yes' box must be checked in order to move ahead with employment.*

YesNo