CTCI Summer Internship Application

Home Address *

Address *

Church Address *

Emergency Contact Information
First Contact *

First Name Last Name
Phone Number *

Area Code Phone Number
Email *
example@example.com
Second Contact *

First Name Last Name
Phone Number *

Area Code Phone Number
Email *
example@example.com
Primary Health Insurance *
Policy Number
Insured's Name

First Name Last Name
Covenant

While serving as an intern/staff assistant in the CTCI Summer INNternship, I agree to adhere to the highest moral standards in conduct and dress and to submit to the oversight of the CTCI Staff. I agree there should be NO use of alcohol, tobacco, or illegal drugs. As the variety of classes, activities, and chores present themselves, I am willing to do any tasks assigned.

I understand that in addition to assigned duties, an integral part of the Internship/Assistantship will be specialized Heroes of Today training activities in which I will participate.
Electronic Signature *

First Name Middle Name Last Name
Date *

Month Day Year
Signature of Participant *

First Name Last Name

Please write a brief testimony concerning your Christian faith. *
Please write a summary of any ministries or extra curricular activities you have participated in. *
What do you believe are your strengths in regards to the Summer Internship? *
What areas personally do you feel you need to grow in most at this time in your life? *
Describe your current relationship with the Lord and why you feel He is leading you to serve at CTCI this summer. *

References
Please list three references (NOT including family members or peers) whom you feel know you well.
Reference #1 *

First Name Last Name
Position/Relationship *
Phone Number *

Area Code Phone Number
E-mail or Facebook *

Address *

Address *

Address *

CTCI Summer Internship