McDOWELL INTERNSHIP APPLICATION - McDowell Mountain Community Church

PERSONAL INFORMATION

Please give us cell phone number first, home phone (if applicable) second.

Phone number

Address

Referred by

SCHOOL INFORMATION

Current school you are attending

Year of graduation

Year of EXPECTED graduation

If you are going to school part-time or "other"

Degree(s) / Major areas of study

Minor(s) (if applicable)

School Status

EMPLOYMENT INFORMATION

Current occupation/place of employment

Can we contact your current employer?

If we can contact your current employer, please give us name and contact information of supervisor.

Are you prevented from being lawfully employed in the U.S. due to visa or immigration status?

Do you have a current driver's license?

If you do have a current driver's license, please give us license number and state it was issued.

Have you ever been convicted of a crime other than a minor traffic violation?

If you have been convicted of a crime other than a minor traffic violation, please explain here.

Can you travel if the job requires it?

Do you expect to be in any other employment while working at McDowell?

If you do expect to be engaged in other employment while working at McDowell, please explain here.

Have you been employed by McDowell Mountain Community Church before?

If you have been employed by McDowell Mountain Community Church, please list here when and in what capacity.

Internship you are interested in

CHURCH AFFILIATION

Current church affiliation

Positions of leadership held in the church

Please list two other churches you have attended regularly during the past five years.

Include church name, address with city, state and zip code, church phone number, area and dates of service you participated in.

SPIRITUAL JOURNEY

Describe how you became a Christian (If you have not accepted Christ as your Savior, please state your journey thus far).

Have you been baptized?

If you have been baptized, when?

What are your gifts, callings, training, education, or other factors that have prepared you for teaching/serving in the role for which you are applying?

What do you hope to gain from this internship and how does this help your next steps in ministry?

REFERENCES

Reference 1

Please list name, title, telephone and email

May we contact this reference?

Reference 2

Please list name, title, telephone and email

May we contact this reference?

Reference 3

Please list name, title, telephone and email

May we contact this reference?

APPLICANT STATMENT

Please read each statement carefully. By clicking AGREE you are hereby electronically agreeing to said requirement and authorizing further action with regard to statement

The information contained in this application is correct to the best of my knowledge. *

Are you capable of performing in a reasonable manner, with our without a reasonable accommodation, the activities involved in internship for which you applied?

Note to applicant: Do not answer this question unless you have been I informed about the requirements for the internship for which you are applying

I authorize references or churches listed in this application to provide information (including opinions) they may have regarding my character and fitness for working with children. *

I release all such references from any liability for furnishing such evaluations, provided they do so in good faith and without malice. *

I waive any right I may have to inspect references provided on my behalf. *

Should my application be accepted, I agree to be bound by the policies of this church and to refrain from unscriptural conduct in the performance of my services on behalf of the church. *

I further state that I have carefully read the forgoing release and know the content thereof and I sign-off on this release as my own free act. This is a legally binding agreement which I have read and understand. *