Ignite Application
Please fill out this application if you are interested in attending the IGNITE internship at the Healing Rooms Apostolic Center.
Email address *
Today's Date: *
MM
/
DD
/
YYYY
Enrollment Session *
First Name *
Your answer
Last Name *
Your answer
Phone *
Your answer
Gender *
Birth Date *
MM
/
DD
/
YYYY
Address *
Your answer
T-Shirt Size
What type of Visa do you have?
(If a non US Citizen)
Your answer
Country of citizenship *
Your answer
Applicant's Relational Status *
How did you hear about the Ignite Internship *
Did you receive a personal invitation from someone? If yes from whom?
Your answer
Why are you interested in being part of the internship? *
Your answer
Are you in need of housing? *
Do you plan on bringing a vehicle? *
Education Information
Highest Level of Education *
Your answer
Employment
If currently employed, please indicate your position *
Your answer
What business, occupational, military experience have you had in the past? Please state the nature of the work and name of the organization *
Your answer
Please write your personal testimony *
Your answer
Church Background
Do you regularly attend church where you live? *
If Yes, please provide the name of your church.
Your answer
We need a pastoral reference to process your application. Please provide your church name, pastor's name, phone number & email. *
Please recommend a pastor you have known for at least 12 months.
Your answer
What do you consider to be your talents, gifts, and strengths? *
Your answer
What do you consider to be your weaknesses or struggles? *
Your answer
Are you a worship leader, singer, or do you play a musical instrument? If so, please describe your experience and skills.
Your answer
Leadership Experience
Please describe any ministry training that you have received and any ministry leadership involvement. *
Your answer
Health Information
Do you have any food related allergies or intolerances? *
If yes, please explain.
Your answer
Are you:
Are you currently taking any prescription medications? *
If yes, list all medications prescribed to you. *
Your answer
If yes, provide the name and phone number of the doctor who prescribed and regulates any prescription medications. *
Your answer
If yes, please explain why each medication was prescribed to you. *
Your answer
Do you have any disabilities, illness or conditions - mental or physical - that may affect your performance? *
If yes, please explain.
Your answer
Have you ever received help for psychological, sexual, emotional, or relational problems? *
If yes, please explain.
Your answer
Have you ever been in a rehab program? *
Please provide the organization's name, dates you were in the program, along with a leader's name and phone number. *
Your answer
Acknowledgment of Agreement *
Required
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service