Ignite Application 2021
Please fill out this application if you are interested in attending the IGNITE internship at the Healing Rooms Apostolic Center. Once completed, please email a picture of yourself to us at ignite@healingroomssmv.com with "[Your Name] - [Internship Session You Signed up for] Ex: John Smith - Ignite Summer 2019" as the subject line.

Our schedule follows the normal operational hours of the Healing Rooms. Monday 1-8pm, Tuesday through Thursday 930am-4pm. This schedule may fluctuate some during the 10 weeks. Along with the Monday through Thursday commitment, there will be a handful of weekend trainings, conferences & fun outings. Those will be detailed to you during orientation week. Any costs associated with these events will be covered within your tuition costs.
Email *
Today's Date: *
Enrollment Session *
First Name *
Last Name *
Phone *
Gender *
Birth Date *
Address *
T-Shirt Size
Clear selection
What type of Visa do you have?
(If a non US Citizen)
Country of citizenship *
Applicant's Relational Status *
How did you hear about the Ignite Internship *
Did you receive a personal invitation from someone? If yes from whom?
Why are you interested in being part of the internship? *
Do you need assistance with housing or do you have something established already? *
Do you plan on bringing a vehicle? *
What is your preferred payment method for Tuition Cost? *
How will you pay? *
Education Information
Highest Level of Education *
If currently employed, please indicate your position *
What business, occupational, military experience have you had in the past? Please state the nature of the work and name of the organization *
Please write your personal testimony *
Church Background
Do you regularly attend church where you live? *
If Yes, please provide the name of your church.
We need a pastoral reference to process your application. Please provide your pastor's name & email. *
Please recommend a pastor you have known for at least 12 months. We will email them a recommendation form. If you do not have their email, we will send you the link & it will be YOUR responsibility to get in touch with your reference to have the form completed.
What do you consider to be your talents, gifts, and strengths? *
What do you consider to be your weaknesses or struggles? *
Are you a worship leader, singer, or do you play a musical instrument? If so, please describe your experience and skills.
Leadership Experience
Clear selection
Please describe any ministry training that you have received and any ministry leadership involvement. *
Health Information
Do you have any food related allergies or intolerances? *
If yes, please explain.
Are you:
Are you currently taking any prescription medications? *
If yes, list all medications prescribed to you. *
If yes, provide the name and phone number of the doctor who prescribed and regulates any prescription medications. *
If yes, please explain why each medication was prescribed to you. *
Do you have any disabilities, illness or conditions - mental or physical - that may affect your performance? *
If yes, please explain.
Have you ever received help for psychological, sexual, emotional, or relational problems? *
If yes, please explain.
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. *
Acknowledgment of Agreement *
Never submit passwords through Google Forms.
This form was created inside of Healing Rooms Apostolic Center. Report Abuse