2025 Mission OKC Summer Internship Application

2025 Mission OKC Summer Internship
Today's Date

MonthDayYear
Full Name

First NameLast Name
Birth Date

MonthDayYear
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Email or Facebook
example@example.com
Cell Phone
Format: (000) 000-0000.
College/University
High School
Present Level of Education
Parent(s) Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Home Church
Mentor/Pastor

First NameLast Name
Phone
Format: (000) 000-0000.
Our summer program begins 06/03/2025 and ends 07/24/2025. We will be off the week of 07/01/2025. Please let us know if you are not available for these weeks and what dates you will need off.

Emergency Contact Information
First Contact

First NameLast Name
Phone Number
Format: (000) 000-0000.
Second Contact

First NameLast Name
Phone Number
Format: (000) 000-0000.
Primary Health Insurance
Policy Number
Insured's Name

First NameLast Name
Covenant

While serving as an intern/staff assistant at Mission OKC, I agree to adhere to the highest moral standards in conduct and dress and to submit to the oversight of the Mission OKC Staff. I agree there should be NO use of alcohol, tobacco, or illegal drugs. As the variety of classes, activities, and chores present themselves, I am willing to do any tasks assigned.

I understand that in addition to assigned duties, an integral part of the Internship will be to help advance the Gospel into low-income areas of the OKC Community.
Electronic Signature

First NameMiddle NameLast Name
Date

MonthDayYear
Signature of Participant

First NameLast Name

Please write a brief testimony concerning your Christian faith.
Please write a summary of any ministries or extra curricular activities you have participated in.
What do you believe are your strengths in regards to the Summer INNternship?

References
Please list three references (NOT including family members or peers) whom you feel know you well.
Reference #1

First NameLast Name
Position/Relationship
Phone Number
Format: (000) 000-0000.
E-mail or Facebook
example@example.com
Reference #2

First NameLast Name
Position/Relationship
Phone Number
Format: (000) 000-0000.
E-mail
example@example.com
Should be Empty:

2025 Mission OKC Summer Internship