Children's - Summer Intern Application 2024

*Address Line 1
Address Line 2
*City
*State/Province/Region
*Zip/Postal Code
*Date of Birth:
*Gender:
*Social Security Number:
EDUCATION
*College 1 Name:
*College 1 Dates Attended:
*College 1 Major:
*College 1 GPA:
College 1 Degree Awarded (if applicable):
College 2 Name:
College 2 Dates Attended:
College 2 Major:
College 2 GPA:
College 2 Degree Awarded (if applicable):
*High School:
*High School Graduation Year:
*High School City & State:
MISCELLANEOUS
*Church Affiliation:
*Will you require housing this summer?:
*Will you have access to a car this summer?:
*Are you willing to work with:
BACKGROUND INFORMATION
*Have you ever used illegal drugs?
If yes, please explain:
*Have you ever gone through treatment for alcohol or drug abuse?
If yes, please explain:
*Have you ever been asked to step away from ministry or work with children in any setting - paid or volunteer? 
If yes, please explain:
*Have you ever been convicted of a crime?
If yes, please explain:
*Are you willing to be fingerprinted for a criminal background check?
*Have you ever been accused of any form of molestation or abuse?
If yes, please explain:
REFERENCES
Your reference will be contacted by an MDPC staff member as part of the application process. Please be sure to provide accurate contact information, both phone and e-mail.
*PASTORAL REFERENCE (Ex.-Youth Pastor or Church Pastor): List name, e-mail, phone, relationship to self.
*ACADEMIC, PERSONAL, PROFESSIONAL REFERENCE (Ex.-Teacher/Professor or someone for whom you have worked): List name, e-mail, phone, relationship to self.
OBJECTIVES/EXPERIENCE
*What do you want children to know about God?
*Indicate work skills, personality traits, talents or gifts that you feel will contribute to your effectiveness as a Children’s Ministries Intern.
*What do you see as one of the major issues facing children today?  How should the Church respond? 
*List the three (3) most important things in your life right now.
*What experiences have you had in the past six months that have contributed to your personal growth?
*Briefly, write your statement of faith, including your beliefs about God, Jesus Christ, the Holy Spirit, and the Church:
EMPLOYMENT
Employer 1, Phone Number, Dates of Employment, Type of Work
Employer 2, Phone Number, Dates of Employment, Type of Work
Employer 3, Phone Number, Dates of Employment, Type of Work
ACKNOWLEDGMENT

I have read the MDPC Children's Ministry Summer Intern Job Description and I fully understand its requirements, salary and employment start & end dates.   In addition, by signing this form, I give Memorial Drive Presbyterian Church the authority to complete a criminal history and background check at any time and for any reason. I hereby release from liability Memorial Drive Presbyterian Church and its representatives for seeking such information, and all other persons, corporations or organizations for furnishing such information. I hereby certify that all information provided herein is true and correct.  I understand that providing false information could result in disqualification from working with children and youth.    
*Applicant Full Name:
*Date:
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