Youth Ministry Internship Application Youth Ministry Internship Application Name First Last School Box #Cell Phone NumberCurrent Major2nd MajorMinorPresent Class Standing:SophomoreJuniorSeniorList the semester you took these prerequisite classes:YMI 214 – Foundations and Philosophy of Youth Ministries Semester/Year taken:YMI 224 – Strategizing for Church and Campus Youth Programming Semester/Year taken:YMI 324 – Counseling and Communicating with Contemporary Youth Semester/Year taken:YMI 494 – Personal and Professional Orientation to Youth Ministries Semester/Year taken:II. Personal DataBirth Date Date Format: MM slash DD slash YYYY Marital StatusSingleMarriedEngagedChildrenYesNoName and age of eachAddress1. Do you have any physical difficulties or health conditions that require special attention or medication? If yes, please give details:2. Are you now or have you ever been on academic or disciplinary probation at Grace College or other institutions of higher education that you attended? If yes, please give details:3. Where will you reside during your internship, if known? Name: Address:4. Have you ever been convicted of, or pled guilty or no contest to a crime other than a minor traffic violation, or are you now under charges for any criminal offense? If yes, please give details.5. Have you ever been convicted of (or pled guilty to) child abuse or a crime involving actual or attempted molestation of a minor? If yes, please give details.III. Background DataGive a brief summary of your salvation experience and personal relationship and walk with Christ:State your personal philosophy of ministry:In the spaces provided, please state your short and long term ministry objectives and goals:What does it mean to you to be “called” into ministry?Are your parents in agreement with your decision to participate in this internship program (should you be selected)? If no, please explain:State your personal expectations for the internship:
