Internship Program Request Form
Name of Person Completing Form
*
First Name
Last Name
E-Mail of Person Completing Form
*
example@example.com
Contact Information
Name of Congregation
*
City of Congregation
*
Lead Pastor's Name
*
First Name
Last Name
Lead Pastor's E-Mail
*
example@example.com
Lead Pastor's Best Contact Number
Kind
*
Mobile
Home
Work
Back
Next
Internship Program Request Form
Internship Information
Preferred Starting Date for Internship:
*
-
Month
-
Day
Year
Date
Preferred Ending Date for Internship:
*
-
Month
-
Day
Year
Date
Basic Ministry Assignment for Internship
*
Youth, Music, Etc.
Who will serve as supervisor for the intern?
*
First Name
Last Name
Compensation Amount
*
Frequency:
*
Per Week
Per Month
Total
Describe housing arrangements to be provided.
*
Do you have a completed and approved job description?
*
Yes
No
Do you have a completed and approved educational plan?
*
Yes
No
Does the church have adequate insurance and workers compensation?
*
Yes
No
Does the church have proper employment processes in place?
*
Yes
No
Submit
Should be Empty: