catch the fire internship application

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?
____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
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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.
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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 _______________________
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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 #:________________________________________________________
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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: __________________
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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:
_______________________________
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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?
___________________________________________________________________
___________________________________________________________________
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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?
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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]
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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?
___________________________________________________________________
___________________________________________________________________
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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?
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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]
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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?
___________________________________________________________________
___________________________________________________________________
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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
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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]
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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
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Catch The Fire Intern Application 022016