Guided Ministry Internship Registration

Supervisor Information

Ministry/Organization of Internship

Supervisor's Name

First

Last

Supervisor's Email

Supervisor's Phone

Student Information

Student Name

First

Last

Student's Email

Student's Phone

Internship Information

List Specific Responsibilities and Tasks

Proposed Tentative Schedule for Weekly Meetings

What will these regularly scheduled meetings with your Field Supervisor look like?

Learning Covenant and Three Internship Goals:

Learning Covenant

This “Covenant” is a brief paragraph describing your intention and commitment towards this internship. Briefly summarize what you hope to accomplish during this internship.

Goal #1: Outline your first ministry-related goal? What skill or aptitude are you hoping to improve or develop?

Goal #2: Outline your second ministry-related goal? What skill or aptitude are you hoping to improve or develop?

Goal #3: Outline your spiritual formation-related goal? In what personal area are you hoping to strengthen or develop spiritually?

Student Signature

Clear Signature