Internship Registration

Internship Registration
Before proceeding with this registration, you must have made arrangements with the people below. These arrangements should include details of what your ministry will look like (agreed upon by faculty, supervisor, and student), and at least an initial discussion with faculty advisor on what the reading, writing, and hourly requirements will be.

A copy of your registration form will be sent to you as well as to each of the following to verify that arrangements have been satisfactorily made.

Check the boxes below and proceed with the registration form once these details have been approved.

Note: this registration form is due before you begin your ministry hours.
Faculty Advisor*

as listed in registration below
Supervisor*

as listed in registration below
Director of Student Ministries*

Sheila Ginter
Student Information
Full Name*

First NameLast Name
E-mail*
Major*
Focus Area(s)

Intercultural StudiesCounselling MinistryPastoralYouthBible Teaching
Minor/Focus Area

Bible TeachingChildren's MinistryIntercultural StudiesPastoralCounselling MinistryWorshipYouth
Internship Details
Internship Credit Hours*
If you are short on service learning credits for graduation, you do have the option to add one or two to this practicum/internship. Add minimum 20 hours per SL. Would you like to add SL credits?
SL Credits?*

YesNo
# of SL credits*

12
Add 20 hours to your total hours to account for your SL credit.
Add 40 hours to your total hours to account for your SL credits.
Hours*
Hours*
Hours*
Hours*
Start Date*

MonthDayYear
End Date*

MonthDayYear
Due Date*

MonthDayYear
Job Description*
Supervisor Information
Organization*
Supervisor*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
E-mail*
Faculty Advisor
Name*
E-mail
Phone Number*
Academic Requirements
1. SHAPE document

2. Ministry

3. Journalling

4. Reading

5. Philosophy of Ministry paper

6. Self-Evaluation paper

See Syllabus for further details
Note: a practicum or internship may run up to a year and will be prorated for withdrawal and refunds, but with a non-refundable component of 15% after this form has been submitted.

See syllabus for specific withdrawal deadlines.
Should be Empty:

Internship Registration

Student Information

Internship Details

Supervisor Information

Faculty Advisor

Academic Requirements