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Community internship Parent/Guardian Form
All information gathered through the screening process will be handled confidentially.
Name of Internship Applicant
Name of Parent or Guardian
Address
Phone
Email
Church Currently Attending
Pastor's Name
Has the applicant discussed or counseled with you concerning his/her interest in participating in the Community Internship program?
SELECT ONE
Yes
No
What do you understand is the real motive for the applicant wanting to participate in the program?
What are the applicant's greatest strengths?
Has the applicant had any serious problems in submitting to parental or other authority?
SELECT ONE
Yes
No
Has the applicant read through and discussed with you the guidelines, code of conduct, and overall information about the Community Internship program?
SELECT ONE
Yes
No
What is his/her general attitude towards these guidelines and standards?
Understanding that it is our desire to be in no conflict with parental and church authority, would you be supportive of these guidelines and standards?
SELECT ONE
Yes
No
Do you fully approve of the applicant participating in the Community Internship program?
SELECT ONE
Yes
No
Comments (Please describe any reservations or concerns.)
Electronic Signature
Date
Thank you for completing the Community Internship Parent/Guardian Form. This is an invaluable resource as we consider the applicant. Please feel free to add any additional comments that may be helpful.
Submit Form