Phone GRACE MINISTERIAL INTERNSHIP PROGRAMME CHAPEL OF GRACE TRANSFORMATION MINISTRY INTERNSHIP APPLICATION FORM Please fill out this carefully and correctly. Surname * First Name * Middle Name * Telephone Number * Sex * Male Female Birth date * e.g: 10/06/1999 Email Address * State of Origin/LGA * Abia Adamawa Akwa-Ibom Anambra Bauchi Bayelsa Benue Borno Cross-River Delta Ebonyi Edo Ekiti Enugu Gombe Imo Jigawa Kaduna Kano Katsina Kebbi Kogi Kwara Lagos Nasarawa Niger Ogun Ondo Osun Oyo Plateau Rivers Sokoto Taraba Yobe Zamfara FCT Residential Address * Have you attended any Bible School/College? Yes/No. * Yes No If yes, state name & year Which Church do you presently belong to? * Briefly describe your experience in Ministry * For how long do you want to serve as an Intern? * 1 Year 2 Years 3 Years Highest Educational Qualification * You are presently * Unemployed Private sector employed Public sector employed Self-employed What do you consider is your specific ministry calling? Marital status * Single Married Separated Divorced Single Parent Widow Widower If married, state name of spouse Tel. No. of spouse If you have children, how many? Next of kin, if different from spouse Tel I hereby affirm that the information given above is correct to the best of my knowledge. I agree to be held responsible for any false declaration. * Yes No
