I-Quest Intern Program Application

*Required Information

Applicant Information:
First Name*:      Last Name*:    Nickname: 
E-mail Address*:

Date of Birth*: 

Age*:  Gender:  M  F
Church Name:  Denomination: 
U.S. Citizen:  Yes   No  Marital Status*: 
* Current Address: Street, City, State, Zip

Current Phone* : 

Permanent Address:  (If different than current)

Permanent Phone: 

Best time to reach you:  At phone: 
Parent Name:      Parent Phone: 

Emergency Contact Information:
Name:*  Phone*:  Relationship*:

Educational Background   (Required):
Yr Completed*:  GPA*:  Graduation Year*: 
High School: College / University: School/College Name*:
Degree/Major:  Minor(s):
Extra Curricular Activities:
Will you be receiving academic credit or fulfilling a required practicum with this program?  Yes   No
If “Yes”, which department: 
If “Yes”, please inform us now if we have any responsibility (contacting your advisor, completing forms, etc.)
for your credit arrangements and provide any contact information.

Autobiography  (Required):
Write a brief autobiography that will help us get to know you better. Be creative and have fun with this. If you are accepted
for the internship, this autobiography will be used for the rest of the staff to help everyone get acquainted before your trip.

Reference Names  (Required):

Select the appropriate relationship from each drop down list for each reference below.
All 3 are required. Be sure to let them know that we will be contacting them.
(1)
Name:     
Street    City:    State:    Zip:
Email: 
Phone:  (Please include area code.)
(2)
Name:     
Street    City:    State:    Zip:
Email: 
Phone:  (Please include area code.)
(3)
Name:     
Street    City:    State:    Zip:
Email: 
Phone:  (Please include area code.)

Personal Background Information  (Required):
Have you ever... 
Been expelled from school? Yes    No
Served time in a detention center or jail? Yes    No 
Been convicted of committing a crime? Yes    No 
Been regularly involved with tobacco products? Yes    No 
Been regularly involved with alcohol? Yes    No
Been involved with illegal drugs? Yes    No 
Been involved with gang-related activities? Yes    No  
Been involved with a cult or the occult? Yes    No 
Had diabetes or hypoglycemia? Yes     No
Had seizures of any kind? Yes     No
Had fainting spells? Yes     No
Had an eating disorder? Yes     No 
Had breathing problems? Yes     No  
Had psychiatric care? Yes     No  
Taken depression medication? Yes     No 
Been involved in premarital sexual activity? Yes     No 
Been pregnant or fathered a child? Yes     No 
Taken medication for behavior? Yes     No 
Have any physical limitations or disabilities? Yes     No 
Are currently 30 pounds or more overweight? Yes     No 

If you answered “Yes” to any of the above questions, please give a complete explanation below.
Listed below are of the tendencies which, if present, may reduce the effectiveness of a participant. Please check words or descriptions with which you have struggled or currently struggle.
Dishonesty:     Loneliness:      Workalcoholic:    Embarrassment:      Moodiness: 
Excessive guilt:       Impulsiveness:        Impatience:       Smoking:        Discouragement:  
Excessive worry:          Being 'cocky'        Being domineering:        Rebelliousness: 
Stress or tension:        Bulimia or anorexia       Inability to take a joke:       Sexual or physical abuse:  
Being easily offended:      Inability to make friends:      Negativity or criticalness:      Abuse of alcohol or drugs: 
Feelings of rejection:      Occult involvement:      Prejudice or intolerance:     Sexual thoughts or pornography: 
Suicidal thoughts or attempts:      Stealing or kleptomania:     Violence, anger or arguing:    
Homosexual feelings or activity:    Confusion or hopelessness:      Attention Deficit Disorder:      Exclusive or absorbing infatuations:  

Ministry Experience and Interests (Required):

Please answer the following questions THOROUGHLY and HONESTLY. There are no “perfect answers”. Just express yourself honestly.
Why have you decided to apply to become part of this program?
Do you have any ministry experience? Do you think you could work well with a variety of age groups?
Which spiritual gifts do you feel you possess? How have you been using them? What do you think your role is in the Body of Christ?
Tell of your experiences of sharing your faith. What is your approach?
How well have you followed up with those who came to know Christ through you?
What do you sense God may be calling you to do with your life in the long-term?

Spiritual Development   (Required):
Please describe how you came to know Jesus Christ as Lord and Savior. Include information about your life prior to Christ, your conversion, your present walk with Him, and any events or experiences you consider milestones in your spiritual growth and relationship with Him.
Who is God to you?
What is a "personal relationship" with Jesus Christ? 
Describe your experience with and/or understanding of the Holy Spirit.
Do you have a regular devotional time? Do you feel one is necessary while in ministry as a member of this program? How about in "regular life?" Why or why not?
What has God been teaching you lately?
Define your understanding of discipleship. What ?

Miscellaneous Information   (Required):
Briefly summarize your home life describing your relationship with your immediate family.
Do your parents or legal guardians approve of your becoming a member of this program? Do you live with them?
Other than Jesus, whom in your life do you admire or look up to the most? Why? How close are you with this person?
Describe your activity in church. How are you/have you been involved? What is your relationship with your pastor?
Describe your own leadership style and that style which you best operate under. 
What are your strengths and weaknesses?
How do you intend to raise financial and prayer support for your trip?
If you are not accepted into this program, what will you do during the time you would have spent as a participant?
What changes would you like to see take place in your own life if you do participate in this program?

Agreement, Code of Conduct and Release
Please read the following paragraph carefully. If you agree to it, please check the “I agree” box. 
The information given here is accurate and truthful to the best of my knowledge.

I have read, understand and agree to abide by all the intern program rules including rules about expectations of my personal behavior.

I agree to send a recent picture of myself via email attachment to office@acexperience.org which is required for the application processing.

I authorize any references listed in this application to give ACE any information (including opinions) that they may have regarding my character, abilities or spiritual readiness for this program.

I release all such references from any liability for furnishing either written or verbal information, opinions or evaluations to ACE, provided they do so in good faith and without malice.

I waive any right that I may have to inspect the information provided about me. Should my application be accepted, I agree to abide by the policies, guidelines and leadership of the program.

 I agree

Applicant's Initials: 

Date: