Name *

First Name

Last Name

Phone

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RESIDENCY PATHWAY DESIRED:

PASTORAL MINISTRY PATHWAY

LAY MINISTRY PATHWAY

INTERNSHIP PROGRAM

ELIGIBILITY

Can you affirm the following beliefs and also affirm the Articles of Religion that are as follows? We believe in one God, who is Father, Son and Holy Spirit. We believe the Bible is the inspired Word of God, and the highest authority on God's plan for His people. We believe that Jesus Christ is the defining feature of God's will and our highest and clearest example of godliness. We believe that making disciples is a clear mandate from Christ. We believe our mission is to serve others, and to lead by serving. We believe in unity through diversity - that people from all walks of life are united under the authority of Jesus Christ.

YES

NO

Do you sense a calling to explore ministry at a greater level either through full-time pastoral ministry or lay ministry within the local church?

YES

NO

Are you a member of Eastern Hills Church or a member in good standing at another local church?

YES

NO

CAN YOU AFFIRM THAT YOU UNDERSTAND AND WILL ABIDE BY THE INTERNSHIP AND/OR RESIDENCY EXPECTATIONS AND RESPONSIBILITIES?

YES

NO

BACKGROUND CHECK CONSENT

IF ASKED, ARE YOU WILLING TO CONSENT TO A BACKGROUND CHECK?

YES

NO

DISCLAIMER

I, the Applicant, certify that my answers are true and honest to the best of my knowledge. If this application leads to acceptance into the internship or residency program, I understand that any false or misleading information in my application or interview may result in my internship or residency being terminated.

First Name

Last Name