Internship Application

Thank you for your interest in Blackhawk's intern program! Please be sure to read the information on our website prior to applying. All information gathered through the application process is handled confidentially. 

*Address Line 1
Address Line 2
*City
*State/Province/Region
*Zip/Postal Code
How I heard about the Internship Program:
I am applying for the:
I am interested in: (check all that apply)
**Note: interns working 40 hours/week have the option to participate in Blackhawk's health insurance and flex spending plans. Interns who choose to participate in the health insurance plan are eligible for coverage on the first of the month following 30 days of employment, and their fundraising total will be increased to include the employer portion of monthly health insurance premium cost. Interns who choose not to participate in the health insurance plan will be required to show proof of alternate health insurance coverage.
_________________________________________
Interns will work closely with a specific ministry. Please indicate up to three ministries that you are interested in interning with.:
*First Preference:
Second Preference:
Third Preference:
*Why are you passionate about these ministry areas?:
Please explain below if you are aware of anything that would impact your internship availability for the season(s) you applied for (e.g., school schedule requires you to start later than the indicated Start Date, family vacation planned for a certain time frame, class schedule will make you unavailable on certain days/times). :
Impacts to Internship Availability:
At Blackhawk we believe that new life occurs when you trust Christ and Him alone for your salvation. Briefly describe how that happened in your life.:
*My faith story:
Briefly describe your experience with Blackhawk Church (how long you've attended, how you're involved, etc.). If you don't currently attend Blackhawk, please answer this question based on the church you've attended most recently.:
*My church background:
Please provide information on the education and other applicable training you've had since high school.:
*Have you graduated high school?:
My post-high school education/training:
Please provide any prior or current work or service experience that would be applicable to an internship.:
My work/service experience:
Are you currently employed? If so, where and for how many hours per week? Would you continue to work at your current place of employment in addition to an internship?:
My current employment:
What do you (or others who are close to you) identify as 1-2 of your strengths. How have you used these strengths?:
*My strengths:
What do you (or others who are close to you) identify as 1-2 of your weaknesses? How are you moving toward these weaknesses?:
*My weaknesses:
Please briefly describe how an internship would fit into your short- and long-term goals. Please also describe if/how you see vocational ministry in your future.:
*My goals:
We must receive at least two completed references in order for your application to be considered complete. Ideal references are people who you've worked/served with, or people who have overseen your work/service (references cannot be family members). YOU are responsible for sending the reference form to the people listed below (we suggest sending the reference form to at least three people). The reference form is available at www.blackhawkchurch.org/intern.:
*Reference #1 Name:
*Reference #1 Email:
*Reference #2 Name:
*Reference #2 Email:
*Reference #3 Name:
*Reference #3 Email:
Please respond to the following information as it relates to your background information.:
*Are you legally authorized or permitted to work in the United States during the time of the internship?:
*Are there any items (spiritual, physical, emotional, mental, social) that hinder your ability to work appropriately with kids?:
*Have you ever been accused, charged or convicted of a criminal offense (felony or misdemeanor other than a parking violation)?:
*Are you currently struggling with any addictions that would hinder your ability to be an appropriate part of this internship?:
*Are there any items (spiritual, physical, emotional, mental, social) that may impact your intern experience or participation?:
*Is there anything from your past that may come up in the future that could harm the ministry of Blackhawk Church?:
Upon clicking submit on this application, I understand that a link will be provided that will allow me to submit information for a criminal background check to be completed.:
*I will promptly complete the background check:
*Blackhawk completes background checks upon the start of service, and then every three years for continued service. In the time between background checks, I understand that I am required to self-report any misdemeanor charges/convictions, felony charges/convictions or alcohol- or drug-related citations I receive during the season I am in service to Blackhawk.
If any above items need explanation, please do so:
By signing below I agree that the information provided in this application is true, and I authorize the Church (Blackhawk Evangelical Free Church and/or its representative) to verify the information on this form. I authorize any organizations, institutions, churches or references listed in this application to give the church any information (including opinions) that they may have regarding my character and suitability for participation in the Internship Program. Should my application be accepted I agree to adhere to all policies of Blackhawk Church.

In the interest of safety and security I, the undersigned applicant, authorize Blackhawk Evangelical Free Church to procure background information about me, prior to, and at any time during, my service to the organization. This report may include my driving history, including any traffic citations; a social security number verification; present and former addresses; criminal and civil history/records; and the state sex offender records. I understand that I am entitled to a complete copy of any background information report of which I am the subject upon my request. Also, I understand that I may receive a written summary of my rights under the Fair Credit Reporting Act.
:
*Applicant's signature:
typing your name serves as your signature: