Pepperdine Ministry Internships- Supervisor Information Form

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One of our Pepperdine University students has indicated that he/she has applied to do a ministry internship with your church or organization. Thank you for considering this investment in our students and helping them discern their calling and giftedness for ministry! Please provide us with the following information so we can confirm the details and parameters for this internship as we consider their application for a ministry internship grant.

If you have any questions, please contact us at tiffany.ferguson@pepperdine.edu, (310) 506-6199

STUDENT intern name *

YOUR (supervisor) name *

Your email address *

Your phone number *

Church or Organization Name *

Church or Organization Address *

Church or Organization Website

Please briefly describe the internship you have planned for this student. Describe the basic duties you have in mind for this internship. *

Please describe the learning outcomes/goals you have in mind for this internship. *

Outline the length of time this internship is planned for, including the start and finish dates for the internship. *

Will the intern be paid in any way (amount, housing, etc.)? If so, how much? *

Any additional comments/questions?

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