ANTHEM

INTERNSHIP
2012
Application

What Is It?
Anthem internship is a part-time training opportunity, which will
specialize in the area of ministry leadership development. Our internship
is in direct connection to the student ministry of Grace Community
Church and is directed by Executive Youth/Young Adult Pastors (John
and Priscilla Boore) in connection with the Youth/Young Adult Pastoral
staff (Chandra Lacy and Steve Gillette)

What Does It Cost?

$25 application fee (non-refundable)
$250 per semester (payment plans available)
*cost covers materials, supplies, administrative fees, etc.

What Am I Doing?
Fall Semester:
Sept 4th Dec 12th
Orientation:
Sept 4th- 1:30p-3:30p
General Schedule:
Tuesdays: 10a-2:30p
10a: Staff Devotions
11a: All Intern session
12p: Lunch
1:30p: Sermon Prep/Communications
2:30p: Dismiss
Wednesdays: 10a-Anthem
10:00a: Leadership development
11a: School outreach
12:30p: Team Lunch
2:00p: Youth Ministry Track
3:15p: Break
3:30p: Serving/Service Prep
6:00p: Break
6:30p: Leaders Meeting
7:00p: Anthem
8:45p: Post service responsibilities
9:00p: VIP phone/social media contacts
9:30p: Dismiss

Grace Community Church / 14505 Gulf Freeway /

Houston, TX
Anthem Internship Application:

Personal Info:
Last: ___________________________
First: ___________________________
Middle: _________________________
Mailing Address: _____________________________
__________________________________________
City/State

Zip

Phone: (
)_____________________
E-Mail:________________________________________
Age: ______
Date of Birth: _____________
Sex: _________ SS#: _________________________
Marital Status: _____
(If you or your spouse have been divorced, give explanation on a separate sheet of
paper.)

Emergency contact: ____________________________

Relationship: ______________________
Contact Info: (
)________________ /
___________________________________
Phone

E-mail

Place of Employment: _________________________________

Employer Address:____________________________________
___________________________________________________
City/State Zip

Employer phone: (

)_________________

Church Info:
Home Church: _____________________________________
Church Address: ___________________________________
_________________________________________________
City/State

Zip

Church Phone: (
)________________________
Pastors Name: ______________________________
Church Website: _____________________________
Length of Attendance _________________________
Water Baptized? (Y/N)

Date of Baptism: _____/_____/_________

Educational History
High/Secondary School information
High School
Name: _________________________________
Location: _______________________________
Date of graduation: _____/_____/_________
Address_________________________________________
________________________________________________
City/State

Zip

Secondary Education
Name: __________________________________________
Address:_________________________________________
________________________________________________
City/State

Zip

Diploma: (Y/N)
If Yes:
Date of graduation: _____/_____/_________
Degree level: ____________________________
Degree field: ____________________________

Who are you?

Are you aware the internship has a $250 cost for the fall semester? (Y/N)
On a separate sheet please answer the following:
A. Give a one-page description on how you became a Christian. Please
include your current walk with Jesus Christ.
B. List any ministry or church involvement.
C. Give reasons for attending Anthem Internship
D. List goals you desire to accomplish through Anthem Internship.
E. List any gifts or callings that you are aware of.
F. List any talents, abilities, or hobbies.
G. If you have children, please give their name, age, and sex. Are there
any disabilities?
H. Please describe your job situation i.e. full-time/part-time, schedule,
and your position. Is your employer aware of your upcoming school
attendance?

I. Are you in any financial debt? (Y/N) If so, please describe