Internship Application

Name *

First

Last

Phone Number *

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Year in School *

Freshman Sophomore Junior Senior

Interns will have an opportunity to use their skills and abilities during their internship. What ministry skills do you posses that will help you in your internship (i.e. leading small group, musical, preaching etc.)

My Skills *

At Capital City Church we believe that salvation is an on going process that begins when you trust Christ and Him alone for your redemption. Briefly describe how that happened in your life:

My Faith Story *

Briefly describe your experience with your home church (how long you've attended, how you're involved, etc.).

My Church Background *

Please provide any prior or current work or service experience that would be applicable to an internship

My Work/Service Experience *

What do you (or others who are close to you) identify as 1-2 of your strengths. How have you used these strengths

My Strengths *

Weaknesses *

What do you (or others who are close to you) identify as 1-2 of your weaknesses? How are you moving toward these weaknesses?

Please briefly describe how an internship would fit into your short- and long-term goals. Please also describe if/how you see vocational ministry in your future.

My Future *

We must receive at least two completed references in order for your application to be considered complete. Ideal references are people who you've worked/served with, or people who have overseen your work/service (references cannot be family members). YOU are responsible for sending the reference form to the people listed below (we suggest sending the reference form to at least three people). The reference form is available at www.capcitychurch.org/intern.

Name *

First

Last

Email *

Reference 2 *

First

Last

Email *

Reference 3 *

First

Last

Email *

Please respond to the following information as it pertains to your background:

Are you legally authorized or permitted to work in the United States during the time of the internship?

Choose One *

Yes No

Have you ever been accused, charged or convicted of a criminal offense (felony or misdemeanor other than a parking violation)?

Choose One *

Yes No

Choose One *

Yes No

Within 1-2 business days of submitting this application, I understand that I will be emailed instructions about submitting information for a criminal background check to be completed. I will promptly complete the instructions in that email.

Choose One *

Yes No

Is there anything from your past that may come up in the future that could harm the ministry of Capital City Church?

If any above items need explanation, please do so:

Comment *

Applicants Signature *

First

Last

Typing your name serves as your signature

By signing below I agree that the information provided in this application is true, and I authorize the Church (Capital City Church and/or its representative) to verify the information on this form. I authorize any organizations, institutions, churches or references listed in this application to give the church any information (including opinions) that they may have regarding my character and suitability for participation in the Internship Program. Should my application be accepted I agree to adhere to all policies of Capital City Church.

In the interest of safety and security I, the undersigned applicant, authorize Capital City Church to procure background information about me, prior to, and at any time during, my service to the organization. This report may include my driving history, including any traffic citations; a social security number verification; present and former addresses; criminal and civil history/records; and the state sex offender records. I understand that I am entitled to a complete copy of any background information report of which I am the subject upon my request. Also, I understand that I may receive a written summary of my rights under the Fair Credit Reporting Act.

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