ICMovement Internship Application
Must be 18 yrs or older to apply.

APPLICATION PROCESS
1) Application form electronically submitted

Upon Receipt:
1) We will contact you via email or phone. You may be asked to have a phone interview.
2) In most cases, we will notify you of your acceptance within 30 days of the completed interview.
3) Once accepted, you will receive an e-mail letter of acceptance and/or phone call.
Email address *
When are you able to start?
Your answer
Choose your length of internship
Amount of time
Name *
Your answer
Street Address
Ex.) 2059 US Highway 20
Your answer
City
Your answer
State
Your answer
Zip
Your answer
Contact Phone *
Your answer
Birth Date *
M/D/YR
Your answer
Email Address *
Your answer
You are:
Are you ?
Spouses Name
if married
Your answer
Birth Date
Your answer
How long married?
Your answer
Is your spouse applying
if applicable they must fill out another form
Do you have any children?
if applicable
Education and Ministry Background: School Name
Your answer
City and State
Your answer
Dates Attended
Your answer
Diploma/ Degree
Your answer
Education and Ministry Background: School Name
Your answer
City and State
Your answer
Dates Attended
Your answer
Diploma/ Degree
Your answer
Previous Employer
list the most recent first
Your answer
City and State
Your answer
Dates
Your answer
Phone number
Your answer
Supervisor's Name
Your answer
Responsibilities
Your answer
Reason for Leaving
Your answer
Previous Employer
Your answer
City and State
Your answer
Dates
Your answer
Phone number
Your answer
Supervisor's Name
Your answer
Responsibilities
Your answer
Reason for Leaving
Your answer
Do you have a police record?
If yes, please include details, dates and outcomes.
Your answer
Are you currently involved in a local fellowship?
If no, please explain.
Your answer
What would you consider to be your talents, gifts and strengths?
Your answer
Describe any experience with ministry to children and youth and their families
Include any experience using arts in ministry with youth.
Your answer
List two character references with contact info
Your answer
Are you an actor?
Last Performed: Title/ Location/ Date
Your answer
Skill level
none
much
Experience with directing
none
much
Do you sing?
Skill level
none
much
Are you a film maker or video maker?
Skill level
none
much
Are you an animator?
Skill level
none
much
Are you an game developer?
Skill level
none
much
Are you a musical composer?
What if any instrument do you play?
Your answer
Skill level
none
much
Costume creator
Skill level
none
much
Stage Prop Maker
Skill level
none
much
Culinary
Skill level
none
much
Administrative
Skill level
none
much
Please list any other talents
Your answer
Spiritual maturity
Weak
Outstanding
Devotion to Christ
Weak
Outstanding
Integrity and honesty
Weak
Outstanding
Openness to correction
Weak
Outstanding
Self-discipline
Weak
Outstanding
Working without supervision
Weak
Outstanding
Willingness to serve
Weak
Outstanding
Ability to work with others
Weak
Outstanding
Communication skills
Weak
Outstanding
Leadership skills
Weak
Outstanding
Reliability
Weak
Outstanding
Teachability
Weak
Outstanding
Emotional stability
Weak
Outstanding
Physical health
Weak
Outstanding
Family life
Weak
Outstanding
Additional comments or explanations:
Your answer
What would you consider to be your weaknesses?
Your answer
Describe what aspect of ministry at ICM interests you the most.
Your answer
How did you hear about ICM/ Theatre 7000
Your answer
What led you to apply for an internship?
Your answer
Do you plan on bringing a vehicle to the internship?
A summary of your personal journey in Christ
Your answer
Describe any past or present life-controlling (mental, emotional, relational) issues
Your answer
Your goals for the future, including your life vision and ministry plans
Your answer
Expectations for your time in the internship position
Your answer
Please check if you have had any occurrences (from mild to severe) of the following:
all that apply
If any of the previous items were checked, please comment.
Your answer
Do you have any physical disabilities or conditions that require special care?
If yes, please explain.
Your answer
Have you ever attempted or considered suicide?
If yes, please describe.
Your answer
Are you, or have you ever been, on medication related to psychological problems?
If yes, please describe your treatment and medicines
Your answer
Are you currently on any medications?
Do you have health insurance?
If yes, please describe your coverage here
Your answer
EMERGENCY CONTACT INFORMATION: Contact Name/ Phone/ Relation
Your answer
EMERGENCY CONTACT INFORMATION: Contact Name/ Phone/ Relation
Your answer
ACKNOWLEDGEMENT OF AGREEMENT *
Please acknowledge your agreement with the following by checking each box and signing your name.
Required
Your Signature of Agreement of above checked items
Your answer
Date
Your answer
Submit
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