Father’s House City Ministries Internship Application		
Contact Information
Name		
Street Address		
City ST ZIP Code		
Home Phone		
Work Phone		
E-Mail Address		
Availability
During which hours are you available for internship assignments?
Weekday mornings	Weekend mornings	
Weekday afternoons	Weekend afternoons	
Weekday evenings	Weekend evenings	
Flexible / as needed	Unknown at this time	
Interests
Tell us in which areas you are interested in interning
Administration	
Can We Help Homeless Ministry	
Tomorrow’s Hope Sex Trafficking Prevention Ministry	
Portland State University Ministry	
Worship Department	
Children’s Ministry	
Event & School Coordination	
Media Arts	
Special Skills or Qualifications
Summarize special skills, qualifications, or schooling that you have acquired from employment, previous volunteer work, or through other activities, including hobbies or sports.
	
Previous Volunteer Experience
Summarize your previous volunteer experience.
	
Personal & Pastoral references
Please list (1) personal & (1) pastoral reference (please include names, emails, & phone numbers)
	
Christian Walk History
Briefly explain when and how you became a Christ follower
	
Questions
Are you married or engaged	(if yes, please give details)	
Have you had any criminal convictions	(if yes, please give details)	
Do you have a valid driver’s license		
Current age / birthdate		
Will you have outside financial support during the internship		
Instagram profile / Facebook profile / 
Twitter profile		
Person to Notify in Case of Emergency
Name		
Street Address		
City ST ZIP Code		
Home Phone		
Work Phone		
E-Mail Address		
Agreement and Signature
By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as an intern, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal.
Name (printed)		
Signature		
Date		
Our Policy
It is the policy of this organization to provide equal opportunities without regard to race, color, national origin, gender, age, or disability.

Thank you for completing this application form and for your interest in interning with us.
Please email the completed application to: ty@fathershouseportland.org