Synergistic Launch Internship Program Application

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This application is for those interested in the Launch Campus Ministry internship program in conjunction with the Lilly Grant Intern Program – Aug 15, 2024-May 15, 2025 . Please fill this form out & hit the submit button at the end. We will notify you when we receive your application within 72 hours. The deadline for this application is April 15, 2024.

Email *

I. GENERAL BACKGROUND INFO

First Name *

Middle Initial *

Last Name *

Permanent Address *

Permanent City *

Permanent State *

Permanent Zip *

Cell Phone *

example: 7654903048

E-mail *

Birth Date *

YYYY

Gender *

Relationship Status *

Children *

II. EDUCATION

High School *

Year Graduated *

College Name *

Major *

Year of Graduation *

GPA *

Will you be attending Purdue in Fall? *

Yes

Will you be attending Purdue in Spring? *

Yes

Are you in good academic standing? *

Yes

III. EMPLOYMENT

Current Employer *

Current Employer Address *

Current Employer Hrs/Wk *

Previous Employer *

Previous Employer Address *

Previous Employer Hrs/Wk *

IV. BEHAVIOR

In the past 12 months have you had any involvement with the following: *

Yes

Illegal drugs

Alcohol

Gambling

Pornography

Sexual sin

Illicit behavior

Cheating in school

Have you been accused of any felonies or had to serve time in prison or jail? If yes explain! *

Do you currently have an accountability partner/group? *

Yes

If so, how often do you meet with accountability partner/group?

Are you willing to undergo a background check? *

Yes

V. REFERENCES (at least one being a church leader)

Name of Reference #1 *

Role of Reference #1 *

Address of Reference #1 *

E-mail of Reference #1 *

Cell Phone of Reference #1 *

# of years you have known Reference #1 *

Name of Reference #2 *

Role of Reference #2 *

Address of Reference #2 *

E-mail of Reference #2 *

Cell Phone of Reference #2 *

# of years you have known Reference #2 *

Name of Reference #3 *

Role of Reference #3 *

Address of Reference #3 *

E-mail of Reference #3 *

Cell Phone of Reference #3 *

# of years you have known Reference #3 *

VI. PERSONAL & MINISTRY BACKGROUND

What ministry tracks have you served in the past or currently serving? (Check all that apply)

Served in past or currently:

College

Children’s Ministry

Youth Ministry

Young Adult

Worship

Pastoral Ministry

Technology/Communications

Describe your previous church/ministry involvement. *

Describe your current church/ministry involvement. *

What ministry tracks are you interested in exploring during you internship? (Check all that apply)

High Interest

Possible Interest

College

Children’s Ministry

Youth Ministry

Young Adult

Worship

Pastoral Ministry

Technology/Communications

Is there anything specific you would like us to know about your area of interest? *

Describe two of your strengths and one area for improvement. *

Have you taken the DISC or Myers-Briggs Type Indicator, and/or Strength Finders? If so, what were your results?

Describe any leadership positions you have held in the past four years.

What are your goals for this internship?

Are you willing to serve oversees for the summer as a part of this internship? *

Yes

Maybe

Are you willing to serve overseas for the summer as a part of this internship? *

Yes

Maybe

VII. SPIRITUAL JOURNEY

Briefly give your personal testimony. Include the time leading up to salvation, your present walk with the Lord, and your current understanding of your calling or aspirations for the future. *

Church Background – Please describe your church background and any essential characteristics of a church where you might be interested in attending or serving. *

Church Denomination – Please give us what denomination you have been a part of or the closest affiliated with doctrinally. *

Please read the Baptist Faith & Message to understand Launch Campus Ministry Inc doctrines.

https://docs.google.com/document/d/1uRpusIAZG4g4YDlMmtCt8tvZxAn7PzlF4ZzT4gDtQrs/edit?usp=sharing

I have read the Baptist Faith & Message.

Yes

I, certify that the information given in this application is true and correct to the best of my knowledge. *

YOUR NAME BELOW SERVES AS ELECTRONIC VERFICATION OF THE APPLICANT (PLEASE TYPE YOUR NAME AS LISTED AT THE BEGINING OF APPLICATION)

A copy of your responses will be emailed to the address you provided.

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