Mosaic Christian Community Summer Internship Application
Name: *
Your answer
Birthdate *
MM
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DD
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YYYY
Current Address: *
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Permanent Address (if different):
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Phone Numer: *
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Email: *
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Work History: Please list your last three jobs/internships (beginning with the most recent), the dates you were employed there, your position title and a brief summary of your role. *
Employer/Dates/Positions/Role
Your answer
Education: List all schools attended (high school, college/university, business, trade, seminary) for the last 5 years beginning with the most recent. *
School/City/Dates/Field of Study
Your answer
Gifts and Talents: List any hobbies, gifts, leisure actives and talents you possess, whether related to this position or otherwise. *
Your answer
What attracts you to this internship opportunity? *
Your answer
Describe your own faith journey, including how you are growing currently and your understanding of the person of Jesus Christ. *
Your answer
Describe your best work or volunteer experience. *
Your answer
Describe your own church upbringing and/or ministry experience. *
Your answer
What strengths might you bring to a ministry team? *
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What causes you stress, and how do you deal with that stress? *
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Have you ever been convicted of a crime (other than a traffic violation)? If yes, explain. *
Your answer
Do you have housing and reliable transportation for the summer in the East St. Paul area? (This is not a deal breaker, but if not, please explain what you would need provided.) *
Your answer
How can this internship benefit you? *
Your answer
References: Please list the name, email and phone number of three individuals who know you well enough to judge your character, motivation and work ethic. At least one must be former or current pastor/church leader. Briefly mention their relationship to you. *
Your answer
Self Evaluation: Please indicate where the continuum you are on by marking an X where you find yourself situated most often. *
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I prefer group work
I prefer independent work
I seek interaction with people.
I like to experiment with new projects often.
I like to keep to myself
I like to have consistent routine.
I like to carry out tasks.
I like to initiate projects.
I excel with more supervision.
I process things internally.
I bring a high level of energy to social settings.
I am comfortable speaking publicly. 
I prefer a flexible schedule. 
Please explain anything that you believe needs further clarification from the above questions...
Your answer
I affirm that the information I have written is true. I understand that it will be used in dialogue with me and others in considering future employment. I authorize Mosaic Christian Community to explore this information, my work history and qualifications, and any other information considered relevant, including but not limited to my general character and family relationships. I release Mosaic Christian Community and its representatives, from all liability arising from making inquiries, providing the information or deciding about future assignments as a result of this information. *
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