Church on the Street

Center for Practical Theology

Internship Application

All information shared in this application will be kept confidential.

Name:                                                                               M/F          D.O.B.:

Address:

City/State/Zip Code:

Primary Phone Number:

Email Address:

List University/College, Degree and Major/Focus, Graduation Date:

Internship Session Period:  Circle One:  Winter (January 19-April 17, 2009); Summer (May 18-August 21, 2009); Fall (September 14-December 11, 2009)  The cost for the Winter and Fall session is $3400.  The Summer session is $2400.

Briefly describe past ministry experience:

Briefly explain why you want to do an internship with Church on the Street including what expectations you have for your experience.

Are you willing to submit to a background check?  Yes/No

Signature:                                                                                            Date:

Please provide three confidential references to Church on the Street.  Send the references to Pastor Andy Odle, 530 Piedmont Avenue, Unit 210, Atlanta, Georgia, 30308.