Summer Intern Application Form

Please print this form out, complete it and send to:
Christian Resource Center 603 South "K" Road Giltner, NE 68841


What is CRC…: A religious non-profit organization, which is evangelical in doctrine, non-denominational in affiliation, and inter-denominational in practice.

Why does CRC exist…: To further Christ’s kingdom by 1) assisting local churches and individuals, 2) training believers, and 3) reaching out to local communities.

What are CRC’s methods during the summer…: Day camps, Travel Camp, and community involvement.

*See other web pages for CRC brochure, internship details, camp descriptions, doctrines and policies.*

Complete the Following

Last Name _________________________
First Name ________________________________

Current Address _____________________
City _____________ State _____ Zip ________

Telephone ( ) ____________________
Other Phone ( ) __________________________

Social Security # ____________________
E-Mail Address ____________________________

College ____________________________
Year Being Completed _____ Major ____________

Most recent employer _____________________________
May we contact them? ___________

Phone ____________ Work Performed ____________________
Dates Employed __________

Reason for leaving ______________________________________________________________

Name of Pastor _________________________________
Church _______________________

Address _______________________________________
Phone ________________________

Present or home church? (Circle one).

Name of Reference _____________________________

Professor / Former Employer / Other Non-Family Member Adult (Circle one).

Home Address _________________________________
Home Phone __________________

Name of Reference _____________________________

Professor / Former Employer / Other Non-Family Member Adult (Circle one).

Home Address _________________________________
Home Phone __________________

Have you ever been on CRC’s volunteer staff? _____ When? _________________

Please use another piece of paper to answer the following questions. Each answer need not be longer than a paragraph.

List and explain two of your strengths and two of your weaknesses.

Tell how you became a Christian. Include a description of your current walk.

Why do you want to work with children and youth?

What has your church involvement been this past year?

Do you use tobacco or alcohol? Why or Why not?

Do you have any special skills, which might be beneficial to this ministry? (i.e. Bible teaching experience, guitar playing, proficiency on the computer, etc.)

Is there anything else you want us to know?

Legal Questions

Can you, if requested, submit verification of your legal right to work in the U.S.? ____________

Have you been accused of or convicted of a crime? _____

CRC’s Position

Have you read and do you agree with CRC’s doctrines and policies? _____

Are you willing to accept responsibilities other than what has been explicitly described? _____

Will you commit to refrain from activities that could cause another believer to stumble, such as abusing prescription drugs, consuming alcohol, tobacco or illegal drugs or any activity that would bring into question your character? _____

Consider the Internship Description

Have you read the internship description? _____

Are there any reasons why you would have difficulty in performing any of the essential elements of the internship? ____ If yes, what can be done to accommodate your limitations? __________

Applicant’s Statement

I certify that the answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application as may be necessary in arriving at an employment decision. I hereby understand and acknowledge that any employment relationship with this organization is of an "at will" nature, which means that the employee may resign at any time and the employer may discharge the employee at any time. In the event of employment, I understand that I am required to abide by all the rules and regulations of the employer.

Signature of Applicant _____________________________________ Date _____________

Top of Page