Student.Church Church Application 2023 – Cooperative Baptist Fellowship

General Church Information

Church Name*

Name of person completing form*

First Last

Title/church position of person completing form*

Email address of person completing form*

Church Phone*

Church web address*

Church Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Has your church had a Student.Church intern in the past?*

Yes
No
Don't know

If it was in the past few years, who was the intern?

Internship Supervision

Who will be the intern's supervisor?*

First Last

Supervisor's church role/title*

Supervisor's email*

Supervisor's phone*

Has the supervisor previously supervised staff members?*

Yes
No

Has the supervisor previously supervised student interns?*

Yes
No

Has the supervisor had training in supervision?*

Yes
No

How could CBF support the supervisor?*

How many weeks will the supervisor be away from the church during the summer on vacation or in continuing education?*

Name of alternate supervisor while the supervisor is away

First Last

Email address of Alternate Supervisor

Student.Church-Specific Questions

Please provide a statement of why your church desires to have a Student.Church intern.*

Have you already been in conversation with someone about serving as an intern?*

Yes
No

Name of identified intern

First Last

Email address of identified intern

Phone number of identified intern

What is the nature of your relationship with the student identified to serve as the church's intern?

Please describe why the identified student intern is a good fit for your congregation.

Would you like help in identifying an intern through Student.Church communcation channels (i.e. website, campus visits, brochure, social media)?*

Yes
No

Please write a brief job description that we will post on our website. Include information about the church's context and the specific ways an intern might contribute to your congregation's ministry. Be as specific and detailed as possible and make sure to highlight how your church and this internship is unique! (250 words or 1250 character maximum)

Logistical Questions

If the student needs housing, please describe what the church is able to provide for accommodations.*

If the student does not own a car, what type of transportation will be provided?*

Expectations

My church commits to matching the CBF grant towards the student's stipend.*

We affirm

My church commits to having our intern complete a full nine weeks of the position and will do so within the time frame of May 30-July 30, 2023.*

We affirm

My church commits to cover all church-related ministry expenses for the student while on the field. For example, camp fees, job-related mileage reimbursement, etc.*

We affirm

My church affirms the responsibility of running the student's background check.*

We affirm

My church affirms its knowledge of and respects the dates of the internship's IN-PERSON orientation (May 23-25, 2023) and debriefing (early August, 2023).*

We affirm

My church affirms that the supervisor and other needed individuals have read, understood, and agree to the requirements of the Student.Church Internship Guide, including the five internship-specific tasks.*

We affirm