Today's Date: February 21, 2020

Personal Information




Expected Graduation Date

Ministry Experience

Dates Involved

From: (Select the date this position began)
Until: (Select the date this position began)

Direct Supervisor

Dates Involved

From: (Select the date this position began)
Until: (Select the date this position began)

Direct Supervisor

Dates Involved

From: (Select the date this position began)
Until: (Select the date this position began)

Direct Supervisor

Passion in Life

The top three positive experiences I have had in my life are:

Skill/Ability Assessment

(Please check all that apply.)













In which area(s) do you prefer to work?

(Check all that apply)


Reference #1

Reference #2

Reference #3

Personal Biography

List and explain 2 of your strengths and weaknesses:

Personal Biography Section 2

Because we take seriously our responsibility to maintain a safe, family-friendly ministry environment for our staff, volunteers and congregation, we ask that the personal questions below be answered in a truthful and forthright manner:

As part of the application process background checks will be conducted on all applicants.

Have you ever been arrested and/or convicted of a crime?
Do you have any history of drug or alcohol abuse?
Do you have any history of, or have ever been accused of, any form of child abuse?
Is there anything from your past that may come up in the future that could hurt the ministry of MRIPP?
Will you commit to refrain from activities that could cause another believer to stumble, such as abusing prescription drugs, consuming alcohol, tobacco or illegal drugs and any other activity that would bring into question your intentions or your character?
If single, are you currently involved in any kind of dating/courting relationship?
Will you agree to abide by all internship expectations and guidelines?
Do you understand that your acceptance is conditionial upon review of your application and upon the approval of the members of MRIPP Internship Committee based on your interview with them?
Do you certify that the answers given by you on this application are true and correct?
Are you aware that MRIPP may, without liability, terminate your internship because of false statements or omissions made in this application?
Do you authorize the entities and individulas in this application to give relevant information regarding your application to personnel at MRIPP?
Do you understand that your internship will be "at will," which means that your internship may be terminated by MRIPP at any time without cause?
Have you prayed over this decision and discussed it with those your decision may impact?

Please upload a recent picture to be submitted with your application:

Applicant's Statement

The information contained in this application is correct to the best of my knowledge. By hitting the submit button below I authorize references in this application to give you any information (including opinions) that they may have regarding my character and fitness for leading and teaching.

Should my application be accepted, by hitting the submit button below, I agree to be bound by the discipline and policies of MRIPP Michigan Region Intern Placement Program and to refrain from unscriptural conduct in the performance of my services on behalf of the church.

I further state that I have read the foregoing release and am submitting this by my own free act.