Intern at MAP – Mission to Amish People

Internship Application

Personal Information

Full Name

Address

City

State

Zip Code

Phone Number

Email Address

Internship & School Information

Is this internship being completed for college or class credit?

Yes No

School, college, university, seminary, Bible college, or training program

Major/Program of Study

Current Year / Level of Study

Course or Program Associated with Internship

Academic Advisor / Internship Coordinator

School Contact Email

School Contact Phone

Does your school have specific requirements MAP must meet for you to recieve credit?

Yes No Unsure

If yes, please describe the requirements, required paperwork, evaluations, deadlines, or other expectations.

Internship Schedule

Preferred Start Date

Preferred End Date

Total Hours Required / Desired

Approximate Hours Available Per Week

Times generally available?

Morning Afternoon Full day Varies

Areas of Interest

If other, please describe

Describe education, employment, volunteer work, ministry experience, or other experience relevant to this internship.

What skills, abilities, or strengths would you bring to an internship at MAP?

What skills would you especially like to develop during your internship?

About You

Why are you interested in completing an internship with Mission to Amish People?

What do you hope to learn or accomplish during your internship?

Have you previously volunteered, interned, or worked with MAP?

Yes No

If yes, please briefly describe your previous involvement.

Church & Ministry Information

Church Name

Pastor's Name

How long have you attended?

Briefly describe your current involvement in your church or other ministry activities.

References

Reference 1 Name

Reference 1 Relationship

Reference 1 Phone

Reference 1 Email

Reference 2

Reference 2 Name

Reference 2 Relationship

Reference 2 Phone

Reference 2 Email

Confidentiality & Information Security

I understand that information provided to me for MAP volunteer work must be kept confidential and used only for the assigned ministry purpose.

I agree not to share MAP files, records, passwords, contact information, or other confidential information with anyone who has not been authorized by MAP.

I agree to follow MAP's instructions regarding the storage, use, and deletion or return of ministry files and information.

I agree

Background Check

I understand that certain remote volunteer assignments may require a criminal background check before I am permitted to serve in that role.

I agree

Confidentiality, Background Check & Agreement

I understand that during an internship I may have access to confidential ministry, donor, employee, volunteer, or participant information, and I agree to protect and keep this information confidential.

I understand that certain internship assignments may require a criminal background check before I am permitted to begin serving in that role.

I understand that submitting this application does not guarantee acceptance into an internship with Mission to Amish People.

I understand that internship opportunities and assignments are based on MAP’s current ministry needs, available supervision, my skills and interests, and any applicable school requirements.

I understand that I am responsible for providing MAP with information about school requirements, paperwork, deadlines, evaluations, or other documentation.

I agree to follow MAP policies and the direction of my assigned supervisor throughout my internship.

I agree

Electronic Signature

I certify that the information provided in this application is true and accurate to the best of my knowledge.

Applicant Signature / Typed full legal name

Date