FMCIC INTERNSHIP APPLICATION FORM FOR CHURCHES TO COMPLETE
Name of Church
Name of Pastor
Date of Official Board approval to participate in Internship.
NCD Average Score
Minimum Factor
What is the lastest initiative to improve the health of your church? (Describe in several lines if needed)
Date of last course offering of Christian Life and Service Seminar (Bases or equivalent)
Base 1
Base 2
Base 3
Base 4
Current core giving %
Describe your personal vision for an internship in your church.
Will your church provide an adequate room and board placement at no cost to the student?
Yes
No
Projected start date
January 2008
February 2008
March 2008
April 2008
May 2008
June 2008
July 2008
August 2008
September 2008
October 2008
November 2008
December 2008
January 2009
February 2009
March 2009
April 2009
May 2009
June 2009
July 2009
August 2009
September 2009
October 2009
November 2009
December 2009
Completion date
January 2008
February 2008
March 2008
April 2008
May 2008
June 2008
July 2008
August 2008
September 2008
October 2008
November 2008
December 2008
January 2009
February 2009
March 2009
April 2009
May 2009
June 2009
July 2009
August 2009
September 2009
October 2009
November 2009
December 2009
Do you have a local church funding strategy for Internships?
Yes
No
How much local church funding has been allocated for internships this year?
Are you needing to apply for a FMCIC internship grant?
Yes
No
Are you willing to apply for the HRDC (Federal) grant? (We can coach you)
Yes
No
Are you able to secure other sources of internship funding?
Yes
No
What is the amount of additional funds you have secured?
Do you have a person in mind for your church's internship program?
Yes
No
If yes, who?
Is he/she a . . .
Member of local church
Lay Minister
Ministerial Candidate
Can you recommend a candidate(s) for ministry who would benefit from an internship?
Indicates Response Required