Intern Application
Form

Which type of internship are you seeking? *

check all that apply

Summer

First Semester School Year

Second Semester School Year

Program

Marketing

Name *

First Name

Last Name

Date of Birth *

MM

DD

YYYY

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Best Phone *

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Emergency Contact Phone *

(###)

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T-shirt Size

S

M

L

XL

XXL

Mondays

Mornings

Afternoons

Evenings

Tuesdays

Mornings

Afternoons

Evenings

Wednesdays

Mornings

Afternoons

Evenings

Thursdays

Mornings

Afternoons

Evenings

Fridays

Mornings

Afternoons

Evenings

Saturdays

Mornings

Afternoons

Evenings

Sundays

Mornings

Afternoons

Evenings

Name (reference 1) *

First Name

Last Name

Phone (reference 1) *

(###)

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Name (reference 2) *

First Name

Last Name

Phone (reference 2) *

(###)

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Name (reference 3) *

First Name

Last Name

Phone (reference 3) *

(###)

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Do you have a current driver's license? *

(If you transport youth in your vehicle or a ministry vehicle, a copy of your driver's license and insurance will be required to prove insurability by the ministry.)

Yes

No

Have you ever been convicted of or pleaded guilty to a crime? *

Yes

No

By checking this box and submitting this application, I state the information on this application is correct to the best of my knowledge. I authorize the listed references to give Freedom for Youth Ministries information regarding my character and fitness for employment at Freedom for Youth. I release all such references from any liability for furnishing such evaluations, provided they do so in good faith and without malice. I also authorize Freedom to conduct background check inquiries with the appropriate government agencies including teh Iowa Division of Criminal Investigation. And I have read, agree with, and will conduct myself in accordance with the organization's Statement of Faith (mission, vision, core values, and beliefs) found here: https://feedomforyouth.org/statementoffaith *

Yes

No

Check here if you do NOT wish for images of yourself be used by Freedom for Youth

Today's Date *

MM

DD

YYYY