CSMI Application

First Name: Middle Name: Last Name:
Address: City: State: Zip Code:
Home Phone: Work Phone:
Social Security Number: Gender: Please Select a Gender Male Female
Are you a U.S. Citizen? Yes No
Birth Date: Height: Weight:
Marital Status: Please Select a Marital Status Single Married If married/engaged, name of spouse or fiance:
Do you have a Driver's License? Yes No
Do you have Health Insurance? Yes No
Parents Names: Home Phone:
Address: City: State: Zip Code:

Do you have a physical handicap, disability or disease that might compromise your ability to fulfill responsibilities as an intern? Yes No Do you have any chronic illness or allergies? Yes No Are you currently taking any medication prescribed by a doctor? Yes No

Please list all schools you have attended since and including high school.

Add School

Please list any extracurricular activities you participated in, such as sports, honor society, service organizations, clubs, etc.

Have you ever been expelled or suspended from school? Yes No

Please list your work experiences for the last 5 years, beginning with the most recent.

Add Job

Due to limited income opportunity, it is important that we know of any financial commitments you already have.

Add Obligatation

Due to the structure of this program, how will you fulfill your financial obligations?

Will your debts be paid off by the time you enter CSMI? Yes No Do you currently own a car? (Required upon entrance) Yes No
Do you currently have insurance for your car? (Required upon entrance) Yes No Is your vehicle dependable? Yes No

Indicate your skill in foreign languages.

Add Language

Are you interested in being involved in music ministry as part of your internship? Yes No Do you have any experience in the production of special events? Yes No List you athletic skills:

On a scale of 1 to 10, 10 being the highest, please evaluate your personal strengths and weeknesses.

Relating to new people:	1 2 3 4 5 6 7 8 9 10
Establishing Relationships:	1 2 3 4 5 6 7 8 9 10
Maintaining Friendships:	1 2 3 4 5 6 7 8 9 10
Conversing with Strangers:	1 2 3 4 5 6 7 8 9 10
Listening:	1 2 3 4 5 6 7 8 9 10
Encouragement:	1 2 3 4 5 6 7 8 9 10
Sense of Humor:	1 2 3 4 5 6 7 8 9 10
Ability to Submit to Leadership:	1 2 3 4 5 6 7 8 9 10
Confrontation:	1 2 3 4 5 6 7 8 9 10
Ability to finish what is started:	1 2 3 4 5 6 7 8 9 10
Problem Solving:	1 2 3 4 5 6 7 8 9 10
Being an Example:	1 2 3 4 5 6 7 8 9 10

Describe your relationship with your family:

Name and describe your best friend:

What kinds of people annoy you the most? How do you respond to them?

What type of person do you enjoy working with or for?

How many books did you read in the last year, besides the Bible?

What is the last book you read, and when you did you finish it?

What were the last three movies you saw?

How many hours of TV do you watch each week?

How often do you exercise?

What is the biggest decision you have had to make in the past year? Please describe briefly how you handled making that decision.

What areas in your life would you like to see developed? (include character issues, ministry skills, and work ethic)

What are you best known for?

Have you ever been involved in the occult or a cult? Yes No What have been some major spiritual lessons and/or turning points since you have become a Christian?

Who has been a significant influence in your growth in Christ? How has he/she been an influence in your life?

Briefly describe your current walk with God and what He is currently teaching you.

Please list areas you have been involved in your church.

Have you had any training in sharing your faith and/or experience in personal evangelism? Please explain.

Have you had any experience being discipled by someone? Yes No Have you discipled another person? Yes No Have you ever lead or helped someone else start and lead a small group or Bible study? Yes No Please briefly explain any opportunity you have had to work with teams. Please include the greatest challenge(s) of these experiences, as well as the greatest result(s) the team effort brought with it.

Have you ever gone on a Missions trip? Yes No Please list any areas where you have served as a ministry leader, including when and where.

What do you enjoy about being in a leadership role and what challenges you?

Church Leadership
Pastor's Name: How long have you known your pastor?
Youth Pastor's Name: How long have you known your youth pastor?
Church Name: Phone:
Address: City: State: Zip:

Teacher or Mentor
Name of teacher or mentor, past or present:
How long have you known this person? Phone:
Address: City: State: Zip:

Friend
Name of a friend:
How long have you known this person? Phone:
Address: City: State: Zip:

Give a brief overview of your personal history. Include where you grew up, family situations, childhood to present, and how you feel these experiences will affect your participation in the CSMI Internship Program.

Tell how and when you became a Christian and about your personal growth in Christ.

Describe your current walk with the Lord, including how your faith is growing, the spiritual influences in your life, your quiet times, church involvement, and outreach activities you have been involved in.

I declare that all the information provided on this application is true and complete to the best of my knowledge.

I authorize CSMI, a ministry of Fellowship of Christian Athletes, to investigate all statements made and information provided on this application, in any correspondence I may submit, and in any interview in which I may participate.

I also authorize CSMI staff to make contact with and obtain further information regarding me from all references, supervisors and employers identified on this application, in any correspondence I may submit and in any interview in which I may participate.

If appointed to a position with CSMI, I will fully accept and adhere to the Statement of Faith and Mission Statement of CSMI and Fellowship of Christian Athletes.

I agree to accept the responsibility to raise personal support necessary to work for CSMI through Fellowship of Christian Athletes.

I understand that this application does not constitute an offer of employment and that it does not create, nor is it intended to create, a contract of employment.

Typing your name in the box below indicates your agreement to the terms above.
Please type your full name: