Your First Name*:

Your Last Name*:

Birthdate*:

Street Address*:

Other Address(optional):

City:

State/Province*:
—Please choose an option—AlabamaAlaskaAlbertaAmerican SamoaArizonaArkansasArmed Forces AmericasArmed Forces EuropeArmed Forces PacificAustralian Capital TerritoryBritish ColumbiaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineManitobaMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew BrunswickNew HampshireNew JerseyNew MexicoNew South WalesNew YorkNewfoundlandNorth CarolinaNorth DakotaNorthern Mariana IslandsNorthern TerritoryNorthwest TerritoriesNova ScotiaNunavutOhioOklahomaOntarioOregonPennsylvaniaPrince Edward IslandPuerto RicoQuebecQueenslandRhode IslandSaskatchewanSouth AustraliaSouth CarolinaSouth DakotaTasmaniaTennesseeTexasUtahVermontVictoriaVirgin IslandsVirginiaWashingtonWest VirginiaWestern AustraliaWisconsinWyomingYukon Territory

Zip / Postal Code:

Email*:

Phone Number*:

Social Media (Please list any personal social media sites/web sites)*

Name of College/University*

What is your current major / area of study? (Please list any minor's as well)

What year of school are you currently in?*

What is your anticipated graduation date?*

What made you decide to apply for an internship specifically? *

What would others say are your greatest strengths? *

What would others say are your greatest weaknesses? *

Would you describe yourself as an introvert or an extrovert? (Tell us about your personality) *

Tell us about your experience leading worship? *

Will you be needing compensation for this internship? If so, what is the pay required? *

How many hours are you expected to complete during this internship? *

How many hours per week do you anticipate interning? *

What are the start and end dates of your internship? *

Are there any specific requirements that your college/university wants to see take place during the internship? *

What are the things you would like to accomplish during the internship? (Be as specific as possible) *

Please list any questions that you have: *

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