Starpoint Church Internship Application

Starpoint Church Internship Application
General Information
Name

First NameLast Name
Birthdate

MonthDayYear
Social Security Number
MaleFemale
Marital Status

Rate Ministry Focus Area in Order of Preference:

Rows	Rank Order of Preference (1=Top Choice, 7=Least Interested)
Evangelism/Community Outreach
Worship Arts
Teaching/Preaching
Small Groups/Discipleship
Children's Ministry
Student Ministry
Church Planting

SummerSemesterSummer + Semester
Summer 2018Fall 2018Spring 2019
Contact Information
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
E-mail
Emergency Contact Number

Area CodePhone Number
Health
ExcellentGoodFairPoor
Are you currently taking any medication? If yes, please explain.
Do you have any special health/dietary needs? If yes, please explain.
Do you currently have health insurance?
Church Membership
Name of Church
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
Website
Pastor's Name

First NameLast Name
Pastor's Email
Church Denominational Affiliation
How long have you attended this church?
Education
College Attended
Years Completed
Major
Minor
Degree Earned
Date Degree Earned
Other Colleges Attended
Years Completed
Major
Minor
Degree Earned
Date Degree Earned
ExcellentGoodFairPoor
Employment History

Please Include Last 3 Positions
1. Employer
Job Title
Description of Responsibilities
Dates Worked
Supervisor's Name

First NameLast Name
Supervisor's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Supervisor's Phone Number

Area CodePhone Number
2. Employer
Job Title
Description of Responsibilities
Dates Worked
Supervisor's Name

First NameLast Name
Supervisor's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Supervisor's Phone Number

Area CodePhone Number
3. Employer
Job Title
Description of Responsibilities
Dates Worked
Supervisor's Name

First NameLast Name
Supervisor's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Supervisor's Phone Number

Area CodePhone Number
Ministry Experience
1. Organization
Involvement/Leadership Positions
Pastor/Leader's Name

First NameLast Name
Leader Contact Number

Area CodePhone Number
2. Organization
Involvement/Leadership Positions
Pastor/Leader's Name

First NameLast Name
Leader's Contact Number

Area CodePhone Number
3. Organization
Involvement/Leadership Positions
Pastor/Leader's Name

First NameLast Name
Leader's Contact Number

Area CodePhone Number
Getting to Know You
Give us a brief personal bio. Please include your salvation experience, call to ministry, and ministry/career goals for the future.
Please describe why you would like to serve as an intern at Starpoint.
AdministrationApostleshipDiscernmentEvangelismExhortation/EncouragementFaithGivingHospitalityLeadershipMercyPastor/ShepherdingProphecy/ProclaimingServing/MinistryTeachingWisdomKnowledge
List any special talents or skills you have that you feel would be beneficial to Starpoint.
What do you consider your top 3 strengths?
What do you consider your top 3 weaknesses?
What do you expect from participating in a Starpoint Internship?
What I Believe
AgreeDisagree
AgreeDisagree
AgreeDisagree
AgreeDisagree
AgreeDisagree
AgreeDisagree
AgreeDisagree
AgreeDisagree
AgreeDisagree
AgreeDisagree
AgreeDisagree
AgreeDisagree
AgreeDisagree
AgreeDisagree
Legal and Lifestyle
Because we take seriously our responsibility to maintain a safe ministry environment for our staff, volunteers and church, the personal questions below must be answered in a truthful and forthright manner.
YesNo
YesNo
YesNo
YesNo
If you answered yes to any of the questions above, please explain your answer in the space provided.
Agreement
The undersigned applicant hereby certifies that the information contained on this application is true and correct. I have not omitted any information which I reasonably believe would reflect unfavorable on the church’s decision regarding my admittance into an internship at Starpoint Church.

I hereby authorize Starpoint Church to contact any person or institution I have listed on this application, unless indicated otherwise, to verify the correctness of the information I have provided and to receive any other information that would be relevant to my application.
Signature
Date
Should be Empty:

Starpoint Church Internship Application

General Information

Contact Information

Health

Church Membership

Education

Employment History

Ministry Experience

Getting to Know You

What I Believe

Legal and Lifestyle

Agreement