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*
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
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*
Second Contact*

First NameLast Name
Phone Number*
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*
E-mail or Facebook*
example@example.com
Reference #2*

First NameLast Name
Position/Relationship*
Phone Number*
E-mail*
example@example.com
Should be Empty:

2025 Mission OKC Summer Internship