Intern Application Form
Personal details
First Name
Preferred Name
Surname
Date of Birth
Home Address
Email
Cellphone number
Marital Status
Single
Engaged
Married
Partner
Widowed
Divorced
Separated
Home Language
English
Afrikaans
Xhosa
Zulu
Shona
French
Ndebele
Northern Sotho
Sesotho
South Sotho
German
Other
Tsonga
Pedi
Chewa
Dutch
Portuguese
Tswana
Do you know Jesus? If so please tell us your story..
Qualifications
Give details of your highest educational qualification
Give details of other informal learning or relevant work experience you have acquired
Do you have a driver's licence?
Yes
No
Employment Status
What is your current status?
Studying
Employed
Unemployed
If studying, what and where are you studying?
If studying, when will you complete your studies?
If employed, give the date you started this job.
If employed, give details of your responsibilities
If unemployed, what was your last job?
Church Life
Name of Church
Address of Church
Name of Pastor
Contact details for Pastor
How long have you been a member?
Have you discussed your application with someone in church leadership?
Yes
No
Please describe your church involvement
Areas of Service for Interns
In what areas of ministry would you like to serve?
Kids Ministry (0-13)
Youth Ministry (13-18)
Social Ministries
Health Clinic
Counselling/ Pastoral care
Finance
Human Resources
IT
Other
How long would you like to serve with us (we require a minimum of 6 months for our intern programme)?
Less than 3 months
3-6 months
6-9 months
9-12 months
Longer than 12 months
When would your start date be?
I agree to providing a recent police clearance from my home country or undergoing a police clearance check at Jubilee before I begin my placement.
Yes
No
Finance, Accommodation and transport
How will you be supported financially during your internship?
Supported by my home church
Supported by my family
Self- supporting
I am unsure
Will you have access to a car?
Yes
No
Do you need assistance to find accommodation?
Yes
No
Will you be able to make your own way to Jubilee during the week?
Yes
No
Unsure
Medical
Are you regularly seeing a doctor or counsellor at present?
Yes
No
If yes, please give full details of any health or pastoral issues that could affect the care we provide for you or the way you are able to do the work you are interested in.
If you have a special diet, please give details.
Letter of Motivation
Please write c. 500 words about yourself. Some ideas to include: your strengths, weaknesses and hobbies, your dreams, what you feel you can bring to Jubilee and your expectations of this internship.
Reference
Please give us the name of someone within your church community who can provide us with a reference for you. They should have known you for at least a year. N.B. we will send them a separate reference form to complete so please ask their permission first.
Email address of Referee
Telephone number of Referee
How long have you known this person?
In what capacity have you known this person?
By checking this box you expressly consent to your information being stored by Jubilee for as long as you attend or are a member of the Church on our records. The information you supply will be stored securely and used only by staff.
*
Agree
Submit