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StudentDot Intern Application
About You
Name
*
First
Last
Preferred Name
*
Email
*
I am interested in serving through
*
Student.Go (mission-focused)
Student.Church (congregational ministry focused)
I am open to either.
If you have a specific position/location in mind for serving, please list below.
For which term of service are you applying?
*
Summer 2023
What is your internship preference? (check all that apply)
*
Virtual (Student.Go only)
In-person (Student.Go and Student.Church)
Regarding the COVID-19 vaccine:
*
I am fully vaccinated.
I am partially vaccinated.
I am making plans to get the vaccination.
I do not plan on getting the vaccination.
Upload proof of vaccination
*
Max. file size: 256 MB.
Birthdate
*
Gender
*
Which race/ethnicity best describes you? (Please choose only one)
*
American Indian or Alaskan Native
Asian/Pacific Islander
Black or African American
Latino/a
White/Caucasian
Multiple Ethnicity/Other
Prefer Not to Answer
Marital Status
*
Permanent Address
*
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
School Address (if different)
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Phone
*
Emergency Contact
*
First
Last
Emergency Contact Phone
*
Do you have insurance?
*
Yes
No
Insurance Company
*
Are you licensed to drive a car?
*
Yes
No
Will you have a car this term?
*
Yes
No
Languages
Education History
College Name
College Location
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
College Degree or Major
Have you graduated from college?
*
Yes
No
Graduation Date/Estimated Graduation Date (Month, Year)
Graduate School Name
Graduate School Location
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
Graduate School Degree or Concentration
Have you completed graduate school?
Yes
No
Graduation Date/Estimated Graduation Date (Month/Year)
What are your vocational interests/aspirations?
*
Resume
Please upload your most recent resume with your employment history and ministry experience (mission trips, church involvement, Vacation Bible School leadership, etc.).
File
*
Max. file size: 256 MB.
Church Information
Church 1 Name
*
Name of Pastor at Church 1
*
First
Last
Denomination of Church 1
*
Church 2 Name
Name of Pastor at Church 2
First
Last
Denomination of Church 2
Please check all that apply based on your current/previous experience with the Cooperative Baptist Fellowship:
*
Member of a CBF partnering congregation
Attended General Assembly
Attended Selah Vie
Attended Seminarian Retreat
Attended Advocacy in Action
Attended ChurchWorks
Attend(ed) a CBF partner seminary
Participate(d) in a CBF-sponsored campus religious organization
Recipient of the CBF Leadership Scholarship
Participated in CBF Day on my campus
Participate in a CBF network such as the Children's or Youth Ministry Network, Pan African Koinonia, or La Familia
Receive CBF print/email news
Regularly watch the CBF Gathering
Participate(d) in my CBF state or regional events
Give to CBF directly or through my church
Served previously through Student.Go or Student.Church
Participated in a mission team serving with CBF field personnel
None of the above
When and where have you served previously through Student.Go or Student.Church?
Have you already been in conversation with a church about serving?
*
Yes
No
Name of church (including city/state) you've been in conversation with.
Is this church a partner of the Cooperative Baptist Fellowship?
Yes
No
Is the internship in-person or virtual?
In-person only
Virtual only
Combination of both
Name of Pastor at Identified Church
First
Last
Name, Title, and Email Address of Internship Supervisor at Identified Church
In what type of ministry would you like to serve?
What are your Internship location preferences?
What are your Internship location preferences?
Interest Questions
What is your faith story?
*
Why do you desire to do Student.Go or Student.Church this term?
*
What aspect(s) of ministry do you desire to partake in/learn more about?
*
What interests, gifts, talents, and skills do you bring to this experience?
*
What factors will help you thrive in a ministry internship?
*
How do you work with peers?
*