Worship Arts Worship Leading Internship Application

Name: *

Date of Birth: *

Marital Status: *

Single

Married

Spouse’s Name:

Permanent Address: *

City: *

State: *

Zip code: *

Health Status: *

Year of Graduation from NCU: *

Home Church: *

Church Attending while at NCU: *

What areas of church are you involved?: *

What do you expect to gain from an internship?: *

Are there any factors which should be taken into consideration when assigning you to a specific church/ministry?: *

Where do you intend to do your internship?: *

What is your District preference? (List first three preferences): *

What is your specific church/ministry preference? Have you made contact with the church/ministry? (list their name and phone):

List possible conflicts with internship schedule (less than 12 weeks, health, etc.):