Internship Internship Internship Please fill out the form in its entirety. All responses are confidential and will only be seen by administrators of CityHill Internship Name * First Name Last Name Email * Phone (###) ### #### Date of Birth * MM DD YYYY Do you attend church? Yes No How frequently do you attend? Are you a member of CityHill Church? Yes No How did you hear about CityHill Internships and what do you believe God is calling you to be as an intern this year? * When did you accept Jesus Christ as Lord and Savior? * Have you been baptized in the Holy Spirit according to Act 1:8 and Acts 2:4? * Yes No Have you graduated high school? Yes No If you answered "yes", please list graduation date MM DD YYYY If you have attended Bible school, let us know where and when Please list social media handles Marital Status Single Married Do you have a US passport? * Yes No Other country Are you currently employed? * Yes - Full time Yes - Part time No Father/Guardian Name & Email Mother/Guardian Name & Email Describe your family and your relationship with them Emergency contact info (include relationship and phone number) * Do you have any illnesses or allergies? Yes No If you answered "yes", please describe In the past, have you: * Received treatment for for any diagnosed physical, mental, or emotional condition Used tobacco Consumed alcoholic beverages Been sexually active outside of marriage Struggled with homosexual behavior Exhibited self-destructive behavior Been in an abusive relationship Involved in the occult, witchcraft, or cults, etc Convicted of a crime Been involved with pornography None of the above Used drugs or other mind altering substances (marijuana, acid, etc) Please describe any Christian service or ministries you've been involved in * What are your 3 greatest strengths? * What are your 3 areas of growth opportunity? * Thank you! We will review your application and will be in touch with further steps.
