CATCH THE FIRE INTERNSHIP APPLICATION PERSONAL INFORMATION Name: ______________________________________________________ Date of Birth: _______________ Age: _______ Address: _____________________________________________________ Cell Phone: ___________________________________________________ Home Phone: _________________________________________________ Email: _______________________________________________________ Nationality : ___________________________________________________ SoM Modules Attended: __________________________________________ Small Group Leader (from most recent module): ________________________ Outreach Leaders (from most recent module): _________________________ Placement Supervisor (Advance Module): _____________________________ Which department are you interested in interning with? ____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ 1 Catch The Fire Intern Application 022016 LIFE HISTORY Please answer the following questions on a separate sheet of paper. Answer as completely as possible. If you are coming straight from another module at the School of Ministry, answer the following questions: 1. What did God do in your life during the school? 2. What has been your church/ministry involvement during the Advance module? 3. What would you say is God’s call on your life? 4. What would you say are your giftings and passions? 5. Past education/training (please include a copy of your resume) 6. What area would you like more training in? What would you like to develop in/be equipped in? 7. Why would you like to be an intern? 8. How do you work as a team member? 9. What are your strengths and weaknesses? If you have had time away from the School of Ministry, answer the following questions: 1. What did God do in your life during the school? 2. What has God done in your life since you left? 3. What has been your church/ministry involvement since you have left the school? 4. What would you say is God’s call on your life? 5. What would you say are your giftings and passions? 6. Past education/training (please include a copy of your resume) 7. What area would you like more training in? What would you like to develop in/be equipped in? 8. Why would you like to be an intern? 9. How do you work as a team member? 10. What are your strengths and weaknesses? REFERENCES ● ● Please provide 2 references from the School of Ministry. One from your most recent Small Group Leader, and the second from either your Advance Module Placement Leader or your Outreach Leader. These forms can be found at the back of this application. If you have been away from the School for more than 6 months, please provide an additional reference letter from your local church pastor. 2 Catch The Fire Intern Application 022016 INTERN PERSONNEL AGREEMENT This is a written agreement between Catch The Fire and ___________________ Expectations As an intern with Catch The Fire, I accept the following terms for my employment. I will: ● Join and attend a Catch The Fire campus. ● Be part of a connect group and attend weekly. ● Comply by the intern guidelines as laid out in the intern manual. ● Attend any additional training opportunities that are made available to me such as Catch The Fire equipping schools. ● Complete all assignments given to me by my supervisor to the best of my ability. ● Exhibit Godly character & pursue spiritual growth. ● Use the Catch The Fire mission statement “To walk in God’s Love and give it away to Toronto and the world” as a guide for my work here. ● Participate in a 6 month review to discuss progress in the program. ● Arrive at all Catch The Fire functions and commitments on time. I, the undersigned, hereby agree to comply with the terms of the internship as stated above. I understand that the internship can be terminated if I do not comply with the terms of the internship program, after proper warning. Name ______________________ Date _______________________ 3 Catch The Fire Intern Application 022016 EMERGENCY INFORMATION & INSURANCE An intern must have travel/medical insurance for the duration of their internship. Complete this form and give it to the Intern Coordinator. Please include a photocopy of your health coverage in this application. Name:__________________________________________________________ Permanent Address: ______________________________________________ _______________________________________________________________ Country:________________________________________________________ Phone #:________________________________________________________ Please provide the following information that will be used in case of an emergency: Emergency Contact Name:_________________________________________ Relationship to you:_______________________________________________ Address:________________________________________________________ Phone #:________________________________________________________ 4 Catch The Fire Intern Application 022016 INTERN RELEASE & LIABILITY FORMS Intern Name: ________________________________________________ RELEASE OF LIABILITY I do hereby release Catch The Fire, its staff agents and volunteer assistants from any liability whatsoever arising out of any injury, damage or loss sustained by said persons during the course of involvement with Catch The Fire. Intern Signature: ___________________ Date: _________________ CONSENT FOR TREATMENT In case of emergency, I hereby agree to the performance of such treatment, including anesthesia and surgery, or any other treatment that an attending doctor or physician may deem necessary. I agree to meet any and all medical expenses that are incurred during the course of involvement with Catch The Fire. Intern Signature: ___________________ Date: ________________ FINANCIAL RESPONSIBILITY I understand that Catch The Fire will cover my accommodation and that my meals will be provided in the cafe. All other needs will be my sole responsibility. Intern Signature: ___________________ Date: __________________ 5 Catch The Fire Intern Application 022016 VEHICLE INDEMNITY AGREEMENT To Whom It May Concern: I______________________________________, the undersigned, state I am at least 18 years of age and am the owner and/or have legal possession and the right to control the licensed vehicle or item herein described as follows: Make:_______________________ Model:__________________________ License:________________________ Prov/State:_______________________ I hereby indemnify Catch The Fire, its affiliates, employees and others, including its insurers, from any and all loss or liability howsoever caused, as a result of my parking/storing the above described vehicle on/in the property owned or controlled or under the care of Catch The Fire. Signature: ______________________________ In the presence of: ______________________________ (Signature of witness) Date: _______________________________ 6 Catch The Fire Intern Application 022016 CATCH THE FIRE INTERNSHIP SMALL GROUP LEADER REFERENCE (Confidential) Please give this form to your most recent Small Group Leader. Name of Intern Applicant:_____________________________________ The above has applied to join the School of Ministry/Partners in Harvest Intern program. Please could you supply the information requested on this form, in order to help us in evaluating their suitability for internship. Small Group Leader’s name _____________________________________________ Phone _____________________________________________________________ Email______________________________________________________________ 1. What do you perceive to be the applicant’s strengths? ___________________________________________________________________ ___________________________________________________________________ 2. What do you perceive are areas of weakness? ___________________________________________________________________ ___________________________________________________________________ 3. How well do you think the applicant grasped the teaching during the school? ___________________________________________________________________ ___________________________________________________________________ 4. How did they relate and operate in a small group setting? ___________________________________________________________________ ___________________________________________________________________ 7 Catch The Fire Intern Application 022016 5. What personal progress did you observe the applicant making during their time at the SoM? ___________________________________________________________________ ___________________________________________________________________ 6. Were there any areas of personal character that you confronted? How did they respond? ___________________________________________________________________ ___________________________________________________________________ 7. What ministry or spiritual gifts have you observed in operation in the applicant? ___________________________________________________________________ ___________________________________________________________________ 8. Do you know of any incidents or examples in which the applicant compromised his or her Christian faith or moral integrity? If so, please explain, including how it was resolved. ___________________________________________________________________ ___________________________________________________________________ 9. How would you rate their ability to relate to authority? 10. How would you rate the applicant’s ability to overcome adversity? 11. How would you rate their ability to relate to unbelievers? 12. How would you rate the applicant’s leadership skills? 8 Catch The Fire Intern Application 022016 13. How did they respond to demands of SoM? Rose to the occasion Accepted responsibility ✔ ✔ ✔ 14. Do you have any reservations about the applicant becoming part of the intern program? ___________________________________________________________________ ___________________________________________________________________ Signature__________________________ Date ______________________ Please direct all forms to : Catch The Fire, SCHOOL OF MINISTRY, 268 Attwell Dr, Toronto, Ontario, Canada, M9W 6M3 Email: [email protected] 9 Catch The Fire Intern Application 022016 CATCH THE FIRE INTERNSHIP OUTREACH LEADER REFERENCE (Confidential) Please give this form to your most recent Outreach Leader. Name of Intern Applicant: ____________________________________ The above has applied to join the School of Ministry/Partners in Harvest Intern program. Please could you supply the information requested on this form, in order to help us in evaluating their suitability for internship. O/R Leader’s name _________________________________________________ Phone _____________________________________________________________ Email______________________________________________________________ 1. What do you perceive to be the applicant’s strengths? ___________________________________________________________________ ___________________________________________________________________ 2. What do you perceive to be areas of weakness? ___________________________________________________________________ ___________________________________________________________________ 3. How well did the applicant grasp the teaching during the School? ___________________________________________________________________ ___________________________________________________________________ 10 Catch The Fire Intern Application 022016 4. How did the applicant relate and operate in a team setting before and during outreach? ___________________________________________________________________ ___________________________________________________________________ 5. What personal progress did you observe the applicant making during O/R? ___________________________________________________________________ ___________________________________________________________________ 6. Were there any areas of personal character that you confronted during the applicant’s time at the school? How did they respond? ___________________________________________________________________ ___________________________________________________________________ 7. What ministry or spiritual gifts have you observed in operation in the applicant? ___________________________________________________________________ ___________________________________________________________________ 8. How would you rate their ability to relate to authority? 9. How would you rate the applicant’s ability to overcome adversity? 10. How would you rate their ability to relate to unbelievers? 11. How would you rate the applicant’s leadership skills? 11 Catch The Fire Intern Application 022016 12. How did they respond to demands of outreach? Rose to the occasion Accepted responsibility 13. Do you have any reservations about the applicant becoming part of the intern program? ___________________________________________________________________ ___________________________________________________________________ Signature________________________ Date _______________________ Please direct all forms to : Catch The Fire, SCHOOL OF MINISTRY, 268 Attwell Dr, Toronto, Ontario, Canada, M9W 6M3 Email: [email protected] 12 Catch The Fire Intern Application 022016 CATCH THE FIRE INTERNSHIP PLACEMENT REFERENCE (Confidential) Please give this form to your placement supervisor (while you were in the Advance Module). Name of Intern Applicant:_____________________________________ The above has applied to join the School of Ministry/Partners in Harvest Intern program. Please could you supply the information requested on this form, in order to help us in evaluating their suitability for internship. Placement Supervisor’s name ________________________________________ Phone _____________________________________________________________ Email______________________________________________________________ 1. What do you perceive to be the applicant’s strengths? ___________________________________________________________________ ___________________________________________________________________ 2. What do you perceive are areas of weakness? ___________________________________________________________________ ___________________________________________________________________ 3. How did they relate and operate in a work placement setting? ___________________________________________________________________ ___________________________________________________________________ 4. What personal progress did you observe the applicant making during their time working in their placement? ___________________________________________________________________ ___________________________________________________________________ 13 Catch The Fire Intern Application 022016 5. Were there any areas of personal character that you confronted? How did they respond? ___________________________________________________________________ ___________________________________________________________________ 6. What ministry or spiritual gifts have you observed in operation in the applicant? ___________________________________________________________________ ___________________________________________________________________ 7. Do you know of any incidents or examples in which the applicant compromised his or her Christian faith or moral integrity? If so, please explain, including how it was resolved. ___________________________________________________________________ ___________________________________________________________________ 8. How would you rate their ability to relate to authority? 9. How would you rate the applicant’s ability to overcome adversity? 10. How would you rate their ability to relate to unbelievers? 11. How would you rate the applicant’s leadership skills? 12. How did they respond to demands of SoM/ work placement? Rose to the occasion Accepted responsibility Flourished within the challenges and opportunities 14 Catch The Fire Intern Application 022016 13. Do you have any reservations about the applicant becoming part of the intern program? ___________________________________________________________________ ___________________________________________________________________ Signature__________________________ Date ______________________ Please direct all forms to : Catch The Fire, SCHOOL OF MINISTRY, 268 Attwell Dr, Toronto, Ontario, Canada, M9W 6M3 Email: [email protected] 15 Catch The Fire Intern Application 022016 APPLICANT CHECKLIST Thank you for filling out this application. Please review this checklist and ensure you haven’t forgotten any items. ▢ Personal Information on page 1 ▢ 10 Life History Questions ▢ SGL Reference ▢ O/R Leader Reference or Placement supervisor reference ▢ Personnel Agreement ▢ Emergency Information/Insurance ▢ Intern Release/Liability ▢ Vehicle Indemnity Agreement (if applicable) ▢ Photocopy of Visa (if applicable) ▢ Photocopy of Health Coverage 16 Catch The Fire Intern Application 022016
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