Contact Details
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
Town
City
Postcode
Mobile number
Date of Birth
-
Day
-
Month
Year
Date
Email
example@example.com
Occupation
Church Info
Which Small Group are you in?
How long have you been there?
Which ministry areas do you serve in?
Giving Financially
Do you regularly give financially to the church? If so, how long have you been giving?
Are you giving by cash, cheque or through the bank?
About You
Why do you want to do the Internship Year?
What do you hope to get out of the year?
Briefly, how did you come to know Jesus?
Have you had any leadership experience? Please give brief details
What would you say your biggest strengths are?
What would you say your biggest weaknesses are?
If you could change one thing about yourself, what would it be?
What gifts and skills do you think you could bring to the church, given the chance?
If you could change one thing about the church, what would it be and why?
Can you describe one person who has influenced you in your life and why?
Do you have any sense of what you want to do with the rest of your life?
Do you have any idea of what you would like to do at the end of the Internship Year?
Health
Are there any health issues, either physical or mental, that we should be aware of (current or past)? Note: Health issues will not necessarily prevent you from doing the year, but it's important that we know so that we can offer the best support.
If so, please explain any ongoing medication or support needed:
Please explain how your health issues may affect your day-to-day life and participation in the Internship Year:
Reference
Please provide the contact details of someone who would be willing to give you a reference:
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
Town
City
Postcode
Mobile Number
-
Phone Number
Email
example@example.com
How do they know you?
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