Internship TypePlease select the type of internship for which you'd like to apply. Select Summer Intern Year-round Intern Fall Semester (Eastern University students) Spring Semester (Eastern University students) Basic InformationPlease enter your full name and birthday. Name Birthday Have you ever been convicted of a criminal offense? Yes No If yes, please provide details. How did you hear about us? T-shirt size Small Medium Large X-Large Permanent AddressPlease enter your permanent (or home) address. Email Address * Address City State - None -AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Marianas IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Phone Temporary AddressPlease enter your temporary (or school) address if different from your permanent address. Address City State - None -AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Marianas IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Phone Effective Until Email Address EducationPlease enter your school name, location, major and date of graduation. University/ College Location Major Grad Year Church AffiliationIf you are affiliated with a church, please specify. Church Name City State - None -AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Marianas IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Employment HistoryPlease enter current and/or past employment history in the spaces provided.Employer 1 From Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year To Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Organization Name Contact Name Contact Phone Contact Email Job Title and Responsibilities Employer 2 From Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year To Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Organization Name Contact Name Contact Phone Contact Email Job Title and Responsibilities Employer 3 From Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year To Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Organization Name Contact Name Contact Phone Contact Email Job Title and Responsibilities ReferencesPlease enter three references in the spaces provided. We encourage you to include a Christian ministry leader and/or someone who has observed your work with children. Reference 1 Name Phone Email Address Relationship Reference 2 Name Phone Email Address Relationship Reference 3 Name Phone Email Address Relationship Additional Information Narrative Please write a brief narrative of your Christian experience. Include any individuals and circumstances integral in your faith development, how you express your faith in daily life, and why you want to work with UrbanPromise. Previous Experience Describe your previous experience working with youth and in a Christian ministry. Strengths & Weaknesses What are your strengths and weaknesses in relating to youth? Do you prefer working with a particular age group? Teamwork How do you feel about working with others? Do you prefer to be in a leadership role? Are you comfortable working under a supervisor or team leader of the opposite sex? Community Living How do you feel about living in a community? Briefly describe any previous experience living with others. Talents & Interests Describe your individual talents or interests (art, athletics, music, languages, technology, etc.). What particular skills or training do you have that may be applicable to urban ministry? Family & Community Briefly describe your family and the community in which you were raised. Leave this field blank
