Personal Information FULL NAME: ADDRESS: Home tel: Work tel: Mobile tel: Email: Date of birth: Nationality: First language: Additional language(s): Marital status: Children (number and age(s)): Do you have any medical problems or limitations? Do you have any special dietary needs? (e.g. vegetarian, food allergy*, etc.) * If allergy, please state specific allergy and reaction caused Do you have a current UK/ International driving license? Are you applying for a residential or non-residential place? (please state)
Qualifications/Education You may use an additional sheet of paper or submit your CV or resumé in response to these questions. Details of schools/ colleges attended and qualifications gained: Year School/College/University Examinations and Results Details of employment: Dates Name of Employer and Type of Business Job Title/Responsibilities Have you ever been dismissed from a job or had a contract renewal refused? If so, what were the circumstances? IF ENGLISH IS NOT YOUR FIRST LANGUAGE, how would you rate your ability to understand and express yourself in English? (5 = Excellent and 0 = Very Poor) Understanding written word 5 4 3 2 1 0 Understanding spoken word 5 4 3 2 1 0 Expressing yourself in writing 5 4 3 2 1 0 Expressing yourself in conversation 5 4 3 2 1 0 Please list any English qualifications you have gained:
Church/Christian History - please use additional sheets as necessary How long have you been a Christian and how did you come to know Jesus? Name of church currently attended and denomination: How long have you attended there? If less than four years please give information about previous church: When were you baptised and in which church? What involvement and/or responsibilities have you had in church life? What is your church leader s attitude/ involvement toward your desire to do an Ichthus Internship?
What you hope to get out of an Ichthus Internship Why are you applying for an Ichthus Internship and what has the Lord been saying to you about it? What are your plans/ goals following the Internship? The Ichthus Internship may require discipline and sacrifice in certain areas of life as we seek to follow Jesus together (e.g. how you spend your free time, what you wear, how you relate to others). How would you respond if you were challenged by your mentors in one or more of these areas during the course of your internship?
A bit about you The Internship puts you into situations where you will be living and working closely with others and where you may be faced with new experiences and challenges outside your normal comfort zone. You will need to work well in a team as well as be able to take initiative and responsibility as an individual. Consider the following characteristics and try to rate yourself on the scale: (5 = Excellent and 0 = Very Poor) Getting on with others 5 4 3 2 1 0 Taking initiative 5 4 3 2 1 0 Working in team 5 4 3 2 1 0 Coping with change 5 4 3 2 1 0 Responding to criticism 5 4 3 2 1 0 Health and stamina 5 4 3 2 1 0 Reliability 5 4 3 2 1 0 Perseverance 5 4 3 2 1 0 Which of these gifts/ministries do you have experience in and feel comfortable using? Circle all that apply: Prophecy Praying for healing Discerning spirits Tongues Interpretation of tongues Leading worship Preaching Leading Bible studies Discipling others Admin/organising Friendship evangelism Community outreach Showing mercy Hospitality Prayer & Intercession Serving Youth work Children s work
A bit more about you How would you describe your knowledge of the Bible on the scale below? STRONG 5 4 3 2 1 0 WEAK Do you have musical ability? Please specify: Which of these gifts/ministries do you particularly want to experience/grow/develop in during your internship? Circle all that apply: Prophecy Praying for healing Discerning spirits Tongues Interpretation of tongues Leading worship Preaching Leading Bible studies Discipling others Admin/organising Friendship evangelism Community outreach Showing mercy Hospitality Prayer & Intercession Serving Youth work Children s work Other: How did you hear about the Ichthus Internship? Is there anything else you feel is relevant for us to know about yourself and/or your hopes for the Internship?
References List two referees whom we may contact (not relatives): Current church leader Name: Address: Tel. No: Mobile: Email: Other Christian leader/responsible person who knows you well Name: Address: Tel. No: Mobile: Email: Your Signature: Date: Please return this form to: Debbie Laycock Ichthus Training, Ichthus Christian Fellowship, 7 Greenwich Quay, Clarence Road, Greenwich, London, SE8 3EY Tel: +44 (0)20 8694 7171 Email: training@ichthus.org.uk or debbie.laycock@ichthus.org.uk