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Your Place Students
Youth Ministry of Your Place Church
INSTILL APPLICATION
Name
*
First Name
Last Name
Date
*
MM
DD
YYYY
Email Address
*
Phone
*
(###)
###
####
Date of Birth
*
MM
DD
YYYY
Why do you want to do the internship?
*
Let us know where you are.
*
I have a relationship with Jesus
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I work great with people
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I have a strong prayer life
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I read my Bible every day
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I would consider myself spiritually healthy
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I have a good understanding about the Bible
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Have you ever been in a leadership position before?
*
Yes
No
If yes, what was your leadership position?
Thank you! Our staff will contact you soon for an interview!