Junior & On-The-Job Internship Application "*" indicates required fields Applicant InformationName* First Last Email* Phone*Birth Date* MM slash DD slash YYYY Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Local Church Affiliation*Please list N/A if none How did you hear about our internship program?* Experience, Education and SkillsEmployment Status* Full-Time Part-Time Not Employed Current or most recent paid position held School Attending: (Current Students - High School & College)*If not in school (college/high school), please put N/A. Grade Level* Freshmen Sophomore Junior Senior College Do you speak any other languages? If yes, which languages do you speak?* What are your hobbies/interests?*Emergency Contact InformationParent Name (if under 18): Emergency Contact Name:* Emergency Contact Relation to Volunteer Applicant:* Emergency Contact Phone Number:*Personal InterestsWhy are you interested in an internship with our organization?*What specific experience would you like to gain through this internship?*Describe your long-term career goals*Please explain your faith journey. Include a personal testimony and how it has impacted your relationship with Christ*Professional ReferencesPlease include three professional references. Clearly state the name of the reference, their relationship to you, and their email and/or phone number.Disclaimer and SignatureHave you ever been convicted of a crime?* Yes No I certify that I understand the Junior Internship is a drug and alcohol-free program. While in the program, I commit to abstaining from such practices. Yes No I certify that my answers are true and complete to the best of my knowledge. If this application leads to an internship assignment, I understand that false information in my application may result in my release from the Junior Internship program. Yes No Signature and Date - Please type your full name and today's date CAPTCHA