Internship Application Form

Work & Ministry Education & Experience:
List your professional and educational qualifications here (include dates, names of institutions, any majors/areas of specialisation)
Are you currently enrolled in any study? If so, please specify course name, institution name and projected completion date.
Please give details of your present occupation, including your current duties and responsibilities.
Previous employment (with dates and, if relevant, brief reason for leaving).
What experience of Christian ministry do you have (leading youth groups, Sunday School teaching, worship leading, preaching, evangelism etc)?
How and why did you become a Christian?
How have you grown as a Christian? In what areas would you like to grow more?

Your current church:
Current church Name:
Church Address:
Your Minister's Name:
Minister's Email:
Describe your current involvement in your local church (eg. programs you attend/lead, committees/boards you serve on, positions you currently hold etc.)
Describe any cross-cultural ministry experience you have had, including location, duration, duties undertaken:

Additional Information:
Please supply details of any medical conditions / disabilities you have/have had which may impact on this role and tell us any adjustments we may need to make to assist you:
Have you ever been the subject of a police investigation of any kind?

YesNo
Have you ever been convicted of any criminal offence (including any offence that may be "spent" under the Rehabilitation of Offenders Act)?

YesNo

Referees:

Before you hit submit...
Is there anything else we should know about you?
Declaration:

By submitting this form, I certify that all information provided is accurate and truthful to the best of my knowledge.
Signature

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Date Signed

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