CTCI Summer Internship Application

Emergency Contact Information
First Contact

First NameLast Name
Phone Number

Area CodePhone Number
Email
example@example.com
Second Contact

First NameLast Name
Phone Number

Area CodePhone Number
Email
example@example.com
Primary Health Insurance
Policy Number
Insured's Name

First NameLast 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 NameMiddle NameLast Name
Date

MonthDayYear
Signature of Participant

First NameLast 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 NameLast Name
Position/Relationship
Phone Number

Area CodePhone Number
E-mail or Facebook
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Reference #2

First NameLast Name
Position/Relationship
Phone Number

Area CodePhone Number
E-mail or Facebook
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Reference #3

First NameLast Name
Position/Relationship
Phone Number

Area CodePhone Number
E-mail or Facebook
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Should be Empty:

CTCI Summer Internship