Summer Internship Application
Name
*
Title
First
Middle
Last
Suffix
Driver's License Number
*
Present Address
*
Street Address
Address Line 2
City
State / Province
Postal / Zip Code
Canada
United Kingdom
United States
Country
Summer 2010 Address
*
Street Address
Address Line 2
City
State / Province
Postal / Zip Code
Canada
United Kingdom
United States
Country
Date of Birth
*
Social Security Number
*
Home Phone
*
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-
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Cell Phone
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Education
High School
College
Other School
Extracurricular Activities
High School
Leadership Role
Post High School
Leadership Role
Church and Ministry Experience
List your ministry experiences (clubs, camps, youth group, leadership, ministry teams, etc.). Send additional information on a separate sheet if necessary.
Name of Organization
Date of Experience
Person you reported to
Hours/week
Description of Role
Phone Number
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Employment History
Begin with your most recent experience.
Employer and City
Dates Employed (From: To:)
Your Position and Supervisor Name
Employer and City
Dates Employed (From: To:)
Your Position and Supervisor Name
Dates Employed (From: To:)
Employer and City
Your Position and Supervisor Name
Personal Reflections
Please address the following questions:
Write a summary of your Christian experience and describe your present relationship with Jesus Christ.
*
Why do you desire to be a summer intern at Trinity Lutheran Church?
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What do you hope to accomplish? Any areas of growth?
*
What is your understanding of the role of youth ministry in the lives of young people, families and the church?
*
Which area of ministry are you most interested in, currently?
Children's Ministry
Jr. High Ministry
Sr. High Ministry
What is your second most interested ministry area?
Children's Ministry
Jr. High Ministry
Sr. High Ministry
What is your third most interested ministry area?
Children's Ministry
Jr. High Ministry
Sr. High Ministry
Personal Traits
Based on your experiences and reflection, check the traits that best describe you.
Extrovert
Patient
Creative
Dependable
Compassionate
Teachable
Determined
Introvert
Charismatic
Energetic
Thoughtful
Adaptable
Musical
Planner
Organized
Courageous
Other, please describe below.
Ministry Competencies
Which of the following ministry competencies do you possess? Rate each of them from 1 to 5 (1 being low and 5 being high).
Interpersonal Communication
Leadership Development
Program Planning
Nurture and Discipling Youth
Strategic Planning
Communicating the Gospel
Music Leader
Relational Skills
Please describe your other gifts and talents below.
Background Check
Please answer the following questions specifically and truthfully. If checking "yes" to any of the following, please give a written explanation in the field below.
Have you ever been involved in or accused of sexual harassment or misconduct?
*
Yes
No
Have you ever been arrested or convicted for any criminal act more serious than a traffic violation?
*
Yes
No
Have you ever had your driver's license revoked or suspended?
*
Yes
No
To the best of your knowledge, is there anything from your past that would disqualify you from working with young people?
*
Yes
No
References Information
Name (1)
*
Title
First
Middle
Last
Suffix
Relationship (1)
Address (1)
Home/Cell Phone (1)
Name (2)
*
Title
First
Middle
Last
Suffix
Relationship (2)
Address (2)
Home/Cell Phone (2)
Name (3)
*
Title
First
Middle
Last
Suffix
Relationship (3)
Address (3)
Home/Cell Phone (3)
I, the undersigned, give my authorization to Trinity Lutheran Church to verify the information on this form. Trinity Lutheran Church may contact my references and appropriate agencies as deemed necessary in order to verify me as a potential youth ministry intern.
Printed Name
*
Date
*
MM
/
DD
/
YYYY
Signature
*
Total:
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Thank you for completing the summer intern application for 2010. Your application has been received.
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Expectant Families
Early Childhood
Little Tots & Polka Dots
Elementary
Meet the Staff
Calendar
Children's Summer Ministries
Children's Ministries
Confirmation
Events
Ways to Connect
Meet the Youth Staff
Calendar
Opportunities to Serve
Summer Camp at Luther Dell
Junior High
Ways to Connect
Events
The River
Meet the Youth Staff
Calendar
Opportunities to Serve
Mexico Mission 2010
Trinity Scholarship Fund
Senior High
Forms & Registration
Submit a Prayer Request
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