IHOPU Application 090811

7/31/2019 IHOPU Application 090811

1/27

APPLICATIONIntructon:

. Plee ncte below wc progrm, mont, n yer you re pplyng or.

. Vt IHOP.org/opu to n te exct trt te n tuton mount, ec progrm ubject to cnge.

. Inert te pecc te n tuton mount or your progrm on pge o te pplcton.. All pplcnt or IHOPU cool n nternp oul complete te IHOPU pplcton, pge .

5. I you re pplyng or n nternp, plee lo complete te enum n bckgroun ceck utorzton orm

t te bck o te pplcton.

Forerunner Scool o Mntry

Augut/yer Jnury/yer

TeCll Inttute

Augut/yer Jnury/yer

Forerunner Muc AcemyAugut/yer Jnury/yer

Forerunner Me Inttute

Augut/yer

One Tng Internp

Jnury/yer July/yer

Fre n te Ngt

Jnury/yer Aprl/yer July/yer September/yer

Intro to IHOPKC


Smeon Compny


INTERNATIONAL HOUSE OF PRAYER UNIVERSITY

Interntonl Houe o Pryer Unerty, Amon Oce12901 S. US Hgwy 71, Grnew, MO 64030 | Pone: 816.763.0243 | Fx: 816.763.0439 | IHOP.org/opu | [email protected]


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IHOPU APPLICATION FORM INCLUDES

. IHOPU pplcton orm

. IHOPU nternp guelne

. IHOPKC ountonl commtment

. IHOPKC on ttement

5. IHOPKC ttement o t

. Ptorl recommenton orm (complete by omeone wo unrelte to te pplcnt n known te

pplcnt or t let one yer)

. Peronl recommenton orm (complete by omeone wo unrelte to te pplcnt n known te

pplcnt or t let two yer)

. Internp pplcton enum n bckgroun ceck utorzton orm (nternp pplcnt only)

APPLICATION PROCESS

Te pplcton een component, wc mut ll be ent togeter n one pcket. Amon econ wll not be

me untl we recee your completepplcton.

. Applcton orm, complete n gne, wt enum, pplyng or n nternp

. Current, peronl potogrp ttce to te pplcton

. Peronl tetmony type on eprte eet; no more tn two pge. Complete, ptorl recommenton n ele n gne enelope

5. Complete, peronl recommenton n ele n gne enelope

. Non-reunble $5 pplcton ee per pplcnt; $5 or nterntonl pplcnt; mke ceck pyble to IHOPU

wt te pplcnt nme n te memo

. FSM, FMA, FMI, n TCI pplcnt mut ubmt g cool/econry cool trncrpt (or ocl GED cope)

b. Internp pplcnt mut complete te nternp enum n bckgroun ceck utorzton orm

Applcton or nternp mut be recee no lter tn two week pror to te nternp trt te. Applcton or

IHOPU ll emeter mut be recee no lter tn Augut 5, .

INTERNATIONAL APPLICANTS

I you re n nterntonl pplcnt (ny pplcnt wo not U.S. ctzen, U.S. ntonl, or U.S. legl permnent

reent), plee t IHOP.org/nterntonltuent.

MAILING ADDRESS

Interntonl Houe o Pryer Unerty, Amon Oce, S. US Hgwy , Grnew, MO

ACCEPTANCE

. We wll contct you to let you know we e recee your pplcton, n to rrnge pone nterew.

. We wll generlly noty you o your cceptnce or enl wtn trty y o your pone nterew.. Applcnt re not ccepte to ny IHOPU progrm untl tey e recee n ocl notcton o cceptnce

rom te IHOPU Amon Oce.

. Accepte tuent n ntern wll recee urter ntructon by eml rom IHOPU.

5. Applcnt or FSM, FMA, FMI, or TCI wo re ccepte or ll mut py $ non-reunble tuton epot

by Augut , . Te remnng tuton blnce ue t te new tuent orentton. Intern lo my py once

tey re ccepte, but pyment ue n ull by te tme te nternp begn. See IHOP.org/opu or etl o

tuton cot.

. Plee eml [email protected] or cll .. x.5 you e ny queton urng te pplcton

proce.


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1

PERSONAL INFORMATION

Dte o pplcton

Scool/nternp pplyng or

Scool/nternp trt te Tuton mount $

Lt/mly nme

Frt/gen nme Mle nme

Are

Cty Stte

Zp/pot coe Country

Home pone Moble pone

Eml Socl Securty #

Dte o brt (MM/DD/YY) Age

LEGAL STATUS

Plee ceck te box tt pple to you.

U.S. ctzen U.S. ntonl U.S. legl permnent reent

Interntonl pplcnt (ny pplcnt wo not U.S. ctzen, U.S. ntonl, or U.S. legl permnent reent)

I you re currently n te U.S., wt type o o you e?Country o ctzenp Country o brt

FAMILY INFORMATION

. Fter/gurn Decee Lng Pone

Are Cty

Stte Zp/pot coe Country

. Moter/gurn Decee Lng Pone

Are Cty

Stte Zp/pot coe Country

. Mrtl ttu; ceck ll tt pply. Sngle Engge Mrre Wowe Seprte* Dorce**Plee nclue n explnton on eprte eet o pper.

. I you re mrre, plee nwer te ollowng queton. I not, kp to queton 5.

Spoue nme Dte o brt Age How long mrre?

I your poue ttenng IHOPU? Ye No I ye, your poue mut complete eprte pplcton n ubmt t

wt your. I no, plee nclue letter rom your poue tt ecrbe ter Crtn experence, ter eelng bout

your tme t IHOPU, n ter eelng bout your potentl poton on tf.

5. Do you e clren? Ye No I ye, plee lt ec cl comng to Kn Cty wt you.

Nme Gener Dte o brt Comng to KC?

M F Ye No

M F Ye No

M F Ye No

Attc current poto ere

IHOPU Application Form, 09-08-11


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EDUCATION, EMPLOYMENT, AND MINISTRY BACKGROUND

. Lt enor g/econry cool n nttuton o ger eucton you e ttene, wt te mot recent rt.

Scool nme Cty, tte Dte ttene Dplom, egree

. Lt preou plce o employment, wt te mot recent rt.

Employer Cty, tte Dte

Pone Superor

Reponblte Reon or leng


Pone Superor



Pone Superor


. Are you currently nole n locl curc? Ye No I not, plee expln on eprte eet o pper.

. Lt preou curc nolement, wt te mot recent rt.

Curc nme, cty, n tte Dte Senor ptor Attene

Regulrly OcconllyRegulrly Occonlly

Regulrly Occonlly

Regulrly Occonlly

5. Decrbe your preou mntry trnng n nolement. Ue n extr eet o pper more pce neee.

. Decrbe ow your curc or prtul mly eel bout your tme n IHOPU tuent or ntern.

. Do you pek ny lnguge bee Engl? Ye No I ye, wc lnguge():

. (FMA pplcnt only): Wt your prmry ntrument? Select only one o te ollowng:

Pno/key Acoutc gutr Electrc gutr B gutr Drum Voce

Oter, plee pecy



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3

. (FMI pplcnt only): Plee lt ny me experence you e, nclung kll lerne n equpment ue. Note:

lck o me experence wll not necerly quly you rom ttenng FMI.

PERSONAL EVALUATION

. Plee e yourel n te ollowng re.

Uncertn Wek Fr Goo Outtnng

Sprtul mturty

Deoton to Jeu Crt

Integrty n onety

Openne to correcton

Sel-cplne

Workng wtout uperon

Wllngne to ere

Ablty to work wt oterCommuncton kll

Leerp kll

Relblty

Tecblty

Emotonl tblty

Pycl elt

Fmly le

Atonl comment or explnton:

. Wt o you coner to be your tlent, gt, n trengt?

. Wt o you coner to be your weknee or truggle?

. Wt re ome o your obbe n nteret?

5. Decrbe wt pect o IHOPKC nteret you te mot.



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. How you er bout IHOPKC/IHOPU?

. Wt le you to pply to IHOPU?

. He you pple or or ttene ny trnng progrm t IHOPU n te pt? Ye NoI ye, lt wc progrm, te te you pple or ttene, n wy you re pplyng or ttenng gn.

. Wt your pln or pyng tuton?

. Do you pln on brngng ecle? Ye No

. Do you currently e ny nncl ebt? Ye No I ye, plee expln n nclue your pln or mngngt ccepte nto IHOPU.

PERSONAL TESTIMONY

Plee wrte your peronl tetmony n eprte type ocument. Inclue te ollowng pont:

. A ummry o your peronl journey n Crt

. Any pt or preent le-controllng ue, weter mentl, emotonl, or reltonl

. Your gol or te uture, nclung your le on n mntry pln. Expectton or your tme t IHOPU n ummry o wt you ope to lern t IHOPU

HEALTH INFORMATION

. Plee mrk you e ny occurrence o te ollowng, weter ml or eere:

add or adhd Alcool bueMl epreon Drug bue, nclung cgrette or precrpton rug

Cronc epreon Long-term mecton

Cronc tgue ynrome Etng orer: bulm, norex, et obee, etc.

Cronc pn AllergeInomn or oter leepng orer Atm

Dbete hiv or aidsSezure Communcble ee

Oter

I you cecke ny o te boe, plee expln. Ue eprte eet o pper necery.



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. Do you e ny pycl blte or conton tt requre pecl cre? Ye No I ye, plee expln.

. Do you e ny ubtnce bue problem or cton? Ye No I ye, plee expln.

. Do you currently e, or e you eer , ny le-controllng mentl, emotonl, or reltonl ue?

Ye No I ye, plee expln.

5. He you eer oluntrly or noluntrly recee elp or pycologcl, exul, emotonl, or reltonl problem?

Ye No I ye, plee proe etl below.

Yer Creger()/progrm() Iente problem()

. He you eer been ccue o n/or reporte or pyclly or exully bung omeone?

Ye No I ye, plee expln on eprte eet.

. Do you e polce recor? Ye No I ye, plee expln on eprte eet.

. He you eer ttempte or conere uce? Ye No I ye, plee expln te crcumtnce. Incluewen, were, n ow you were trete, n weter tretment w oluntry or noluntry.

. Do you currently wretle wt ucl tougt? Ye No I ye, plee ecrbe.

. He you eer ewe cl pornogrpy? Ye No I ye, plee expln.

. Do you currently e precrpton or mecton relte to pycologcl problem? Ye No

I ye, ecrbe your tretment meto. You wll be ke to lt mecton n te Mecton Dcloure.

I ye, re you currently tkng t mecton? Ye No



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. He you tken or been precrbe mecton relte to pycologcl problem n te pt? Ye No

I ye, plee lt your mecton n ecrbe your tretment meto.

. Are you currently tkng ny oter precrpton mecton? Ye No I ye, you wll be ke to lt

mecton n te Mecton Dcloure.

. Do you e elt nurnce? Ye No I ye, plee ecrbe your coerge ere.

MEDICATION DISCLOSURE

I m currently on te ollowng mecton, n tee mecton re beng precrbe n regulte by te ollowng

octor():

Mecton Doctor nme Doctor pone number

I gree to contnue tkng tee mecton uner te uperon o my octor cre trougout my tme t IHOPU. I

unertn tt lure to keep tkng my mecton uner my octor cre groun or my mmete ml.

Stuent nme Dte

Sgnture

ACKNOWLEDGMENT OF AGREEMENT

Plee cknowlege your greement wt te ollowng by ceckng ec box n gnng your nme.

I e re, gree wt, n wll be by te IHOPKC nternp guelne (internships only).

I e re, gree wt, n wll be by te IHOPKC Mon Be ountonl commtment.

I e re n gree wt te IHOPKC on ttement.

I e re n gree wt te IHOPKC ttement o t.I unertn tt my progrm t IHOPU wll nclue prctcl mntry trnng n erce to oter.

I unertn tt I mut ecure un ucent to coer ll my tuton beore ttenng IHOPU.

I unertn tt I mut ecure un ucent to coer ll my peronl expene.

I eclre tt te normton I e proe n my pplcton true, ccurte, n complete.

I unertn tt prong le normton n my pplcton my be groun or enl o my pplcton n/or

ml rom IHOPU.

Sgnture Dte



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APPLICATION FEE

A $5 pplcton ee ue wt te pplcton pcket or mntrte proceng. Applcton rom nterntonl

tuent requre $5 ee. Applcton ee re nonreunble.

Plee prnt.

Applcnt nme

Scool/Internp Strt te

Plee ceck te box tt pple to te pplcnt.

U.S. ctzen/Legl Permnent Reent ($5) Interntonl ($5)

Payment Options

Pyment mut be me n US ollr.

. Mke ceck or money orer pyble to Interntonl Houe o Pryer Unerty. Wrte te pplcnt nme n

cool/nternp n te memo. Attc to t ocument.

. Complete te cret cr normton below.

Ceck te box tt pple.

V Mtercr Dcoer Amercn Expre

Croler nme t pper on te cr (plee prnt)

Cret cr number

Bllng zp coe (US cr only)

Exprton te Securty coe (-gt coe on bck o cr)

Sgnture Dte



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T pge ntentonlly blnk.

8


8 IHOPU Application Form, 09-08-11


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IHOPU INTERNSHIP GUIDELINES (INTERNSHIPS ONLY)

Teachability: We k tt eery ntern be tecble, wllng to lern, n ncere n /er purut o olne.

Internship dating policy: Dtng not permtte wle ttenng n IHOPU nternp. Te purpoe o our nternp

ocue purut o te Lor. We re conent tt wen ntern eprte temele or t ort eon, tey wll

n tt te rewr r outweg te crce. Applcnt wo re engge re knly requete to tten n nternp

ter tey re mrre.

Vacation: No peronl brek re permtte urng te nternp. Peronl brek nclue, but re not lmte to,mntry trp, weeken trp, mly reunon, gruton, weng, n te lke. Intern re expecte to pln e

n keep te nternp eon n unnterrupte eon o conecrton n mprtton.

Personal appearance: Intern re expecte to upol clen, moet, n non-trctng ppernce n ter re or

ll meetng, cle, erce, n gterng trougout te IHOPKC communty. We ere to brng glory to Jeu wt

our boe n clotng. We lo k tt clen, untorn clotng n oe be worn wen on ny mntry pltorm t

IHOPKC.

Health insurance: Applcnt oul proe ter own elt nurnce coerge. Neter IHOPU nor te nternp

progrm re reponble or coerng optlzton, t to te octor, or mecton.

Vehicle: Intern re reponble or ter own trnportton n tmelne (.e., tey mut be punctul or meetng ncle) weter tey e ecle or not. We recommen tt ec ntern e cce to relble ecle trougout

te nternp.

Personal expenditures: Intern re requre to e ucent un to coer ll peronl n lng expene ncurre

trougout te nternp. Due to te extene tme commtment urng te progrm, ntern oul not cqure

oute employment.

IHOPKC MISSIONS BASE FOUNDATIONAL COMMITMENTS

For ll IHOPKC tf, IHOPU tuent, n ntern:

We recognze tt externl rule o beor re not te get el or ny Crtn communty n ere tt our

motton or olne woul be loe or Jeu n H people, not rule. In t prt we rm te ollowng:

Te IHOPKC communty expect ll t tf member (ll tf, tuent, n ntern), to mke peronl commtment

to le counter to te prelng morl lxty o our ocety by not prtcptng n, octng, upportng, or cononng

exul ctty (eteroexul or omoexul) oute o mrrge between mn n womn, et ort n te

Scrpture. Furter, we wll emontrte our commtment to Crt n to ec oter by rernng rom te ue o

tobcco, n te publc or ocl ue o lcoolc beerge.

IHOPKC VISION STATEMENT

We ere:

. To cll ort, trn, n moblze nterceor to le le o pryer tey prec te gopel, el te ck, elp te

neey, mke cple, n eek to brng trnormton to ocety; to mke t our m to peronlly le ully e-

ote cple o Jeu wo operte n te orerunner prt.

. To etbl perpetul olemn embly n Kn Cty by gterng corportely to t n pry, becue we recog-

nze t eentl to etblng jutce n ocety.

. To trn oter to plnt oue o pryer, curce, n/or mrketplce mntre te Sprt le.



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1010

IHOPKC STATEMENT OF FAITH

We belee only te xty-x book o te Bble re te npre n, tereore, nerrnt Wor o Go. Te Bble te

nl utorty or ll we belee n ow we re to le. (Mt. 5:; Jn. :5, :; Tm. :; Pet. :)

We belee Jeu Crt Go ncrnte, ully Go n ully mn. He w concee n born o rgn, le nle

le, n ofere Hmel penl, ubttutonry crce or nner. By H bloo e t te cro, He obtne or

u eternl reempton, te orgene o n, n le eerltng. He w re boly on te tr y n cene

to te rgt n o te Fter, tere to mke nterceon or te nt oreer. (Mt. :5; Jn. :; Rom. :; Cor.

5:; Cor. 5:; Gl. :; Ep. :; Pl. :; Col. :5; Heb. :5, :5, :; Pet. :5; Jn. :)

We belee lton by grce lone, troug t lone, n Crt lone. No ornnce, rtul, work, or ny oter

ctty on te prt o mn requre or ccepte n orer to be e. T ng grce o Go, troug te power o te

Holy Sprt, lo ncte u by enblng u to o wt pleng n Go gt n orer tt we mgt be progreely

conorme to te mge o Crt. (Jn. :, :, :5; Act :; Rom. ::, :, , :; Ep.

:; Pl. :; Ttu :; Jn. :, )

We belee te Lor Jeu Crt bptze beleer n te Holy Sprt, n wom we re lo ele or te y o

reempton. Te Holy Sprt regenerte, oreer nwell, n grcouly equp te Crtn or goly lng n

erce. Subequent to coneron, te Sprt ere to ll, empower, n nont beleer or mntry n wtne. We

lo belee tt gn n woner, well ll te gt o te Sprt ecrbe n te New Tetment, re operte

toy n re egne to tety to te preence o te kngom n to empower n ey te Curc to ulll t cllng

n mon. (Mt. :; Jn. :, :5; Act :; Rom. :, :; Cor. :; Cor. :; Gl. :5; Ep.

:, 5:)

We belee te one true Go ext eternlly n tree peronFter, Son, n Holy Sprtn tt tee, beng one

Go, re equl n ety, power, n glory. We belee Go not only crete te worl, but lo now upol, utn,

goern, n proentlly rect ll tt ext n tt He wll brng ll tng to ter proper conummton n Crt

Jeu to te glory o H nme. (P. :5, :; Mt. :, :; Act :; Cor. :; Ep. :, :;

Col. :; Heb. :; Re. :)

We belee tt wen Crtn e, tey p mmetely nto te blee preence o Crt, tere to enjoy concou

ellowp wt te Sor untl te y o te reurrecton n te glorou trnormton o ter boe. Te ewll ten oreer well n blul ellowp wt ter gret trune Go. We lo belee tt wen unbeleer e, tey

re congne to ell, tere to wt te Dy o jugment wen tey ll be pune n te lke o re wt eternl,

concou, n tormente eprton rom te preence o Go. (Mt. 5:; Lk. :; Jn. 5:5; Cor. 5:55; Cor

5:; Pl. :, :; Te. :5; Re. :5, ::5)

We belee tt wter bptm n te Lor Supper re te two ornnce o te Curc to be obere untl te tme

o Crt return. Tey re not men o lton, but re cnnel o Go nctyng grce n bleng to te

tul n Crt Jeu. (Mt. :, :; Rom. :; Cor. :; Pet. :)

We belee n te lterl econ comng o Crt t te en o te ge wen He wll return to ert peronlly n bly

to conummte H kngom. We belee te Curc wll go troug te gret trbulton wt gret power n ctory.

We belee te Curc wll be rpture t te en o te gret trbulton. We lo belee n n re pryng or greten-tme ret o oul n te emergence o ctorou Curc tt wll experence n unpreceente unty, purty,

n power n te Holy Sprt. (P. :, :; Jn. :; :; Rom. :5; Cor. 5:, 55; Ep. :;

Pl. :; Te. :5:; Te. :; Re. :)

We belee Am w orgnlly crete n te mge o Go, rgteou n wtout n. A conequence o

obeence, Am poterty born ubject to bot mpute n nerent n, n ll umn re tereore by nture

n coce te clren o wrt, jutly conemne n te gt o Go, wolly unble to e temele or to contrbute

n ny wy to ter cceptnce wt Go. (Gen. ::; P. 5:5; I. 5:5; Rom. :, 5:; Ep. :)



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11IHOPU Application Form, 09-08-11

We belee te Curc Go prmry ntrument troug wc He ulllng H reempte purpoe n te

ert. To equp te nt or te work o mntry, Go gen te Curc potle, propet, engelt, ptor,

n tecer. We lo rm te pretoo o ll beleer n te mportnce o eery Crtn beng jone wt

n ctely nole n locl communty o te nt. We belee women, no le tn men, re clle n gte to

proclm te gopel n o ll te work o te kngom. (Mt. :; Act :, ; Ep. :, :; Tm.

:5; Heb. :5; Pet. :5, )

We belee Go clle te Curc to prec te gopel to ll nton, to epeclly remember te poor, n to mnter

to ter nee troug crcl gng n prctcl erce. T mntry n expreon o te ert o te Lor JeuCrt n n eentl prt o te kngom o Go. (I. 5:, :; Mt. 5::; :; Lk. :, :; Gl. :;

Tm. :)

We belee Stn, orgnlly te gret n goo ngel Lucer, rebelle gnt Go, tkng multtue o ngel wt m.

He w ct out o Go preence n t work wt emonc ot to etbl counter-kngom o rkne,

el, n unret on ert. Stn w juge n eete t te cro o Crt n wll be ct oreer nto te lke o re

wc been prepre or m n ngel. (I. :; Ezek. :; Mt. :5, 5:; Jn. :, :; Ep.

:; Col. :5; Pet. :; Jue ; Re. :, :)


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1212 IHOPU Application Form, 09-08-11



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1


S. US Hgwy , Grnew, MO

Pone: .. | Fx: .. | [email protected]

PASTORAL RECOMMENDATION FORM

TO BE COMPLETED BY THE APPLICANT

Nme Pone

IHOPU progrm n trt te Eml

Uner te Fmly Euctonl Rgt n Prcy Act, tuent enrolle t IHOPU e te rgt to npect ter le

upon requet. In orer or te peron rom wom you e requete t letter o reerence to know you wll e

cce to t letter or t wll be el n conence, plee gn one o te ttement below. Wng your rgt to ee

t letter not requrement or mon.

Plee ceck only one o te opton below n gn n te your opton.

I unertn tt tuent enrolle n IHOPU e te rgt to npect ter le upon requet uner te Fmly

Euctonl Rgt n Prcy Act. I, oweer, ereby DO WAIVE my rgt o cce to t letter o reerence.

Sgnture Dte

I DO NOT WAIVE my rgt o cce to te letter o reerence.

Sgnture Dte

TO BE COMPLETED BY THE PASTORAL REFEREE

Te ptorl reeree mut be unrelte to te pplcnt n mut e known te pplcnt or t let one yer. Plee

return t orm rectly to te pplcnt n ele n gne enelope o tt tey my ubmt ll component

togeter n one pcket.

I you e ny queton, plee eml [email protected].

Nme

Curc nme

Stf poton

Curc pone

Curc re

Cty, tte, zp/pot coe, country

Contct pone

Eml

Pastoral Recommendation Form, 09-08-11


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2

. How long e you known te pplcnt? How well o you know m/er?

. Plee ecrbe te pplcnt leel o nolement n your curc.

. Wt te pplcnt efect on /er peer?

. H te pplcnt ere your congregton n ny cpcty? Ye No I ye, plee ge bre ecrpton.

5. IHOPU progrm cont o ey weekly ceule. Do you oreee culte or te pplcnt wt ceule

combnng g expectton n extene tme contrnt?

. Wt your ement o te pplcnt blty to nle tuton nolng cnge, cr, n correcton?

. From your oberton, wt re te trengt n prtul gt o te pplcnt?

. From your oberton, wt re te pplcnt weknee n truggle?

. Are you wre o ny complex mly or reltonl ctor tt mgt fect te pplcnt tme t IHOPU?

Pastoral Recommendation Form, 09-08-11


17/27

3Pastoral Recommendation Form, 09-08-11

. Plee e te pplcnt n te ollowng re:


Sprtul mturty

Deoton to Jeu Crt

Integrty n onety

Openne to correcton

Sel-cplne

Workng wtout uperonWllngne to ere

Ablty to work wt oter

Communcton kll

Leerp kll

Relblty

Tecblty

Emotonl tblty

Pycl elt

Fmly le


. Woul you e te pplcnt on your tf? Ye No Wy or wy not?

. Do you recommen t pplcnt or IHOPU?

Hgly recommen Recommen Recommen wt reerton* Do not recommen*

*Plee expln:

Atonl comment:

Sgnture Dte


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44 Pastoral Recommendation Form, 09-08-11



19/27

11


S. US Hgwy , Grnew, MO

Pone: .. | Fx: .. | [email protected]

PERSONAL RECOMMENDATION FORM

TO BE COMPLETED BY THE APPLICANT

Nme Pone

IHOPU progrm n trt te Eml

Uner te Fmly Euctonl Rgt n Prcy Act, tuent enrolle t IHOPU e te rgt to npect ter le

upon requet. In orer or te peron rom wom you e requete t letter o reerence to know you wll e

cce to t letter or t wll be el n conence, plee gn one o te ttement below. Wng your rgt to ee

t letter not requrement or mon.

Plee ceck only one o te opton below n gn n te your opton.

I unertn tt tuent enrolle n IHOPU e te rgt to npect ter le upon requet uner te Fmly

Euctonl Rgt n Prcy Act. I, oweer, ereby DO WAIVE my rgt o cce to t letter o reerence.

Sgnture Dte

I DO NOT WAIVE my rgt o cce to te letter o reerence.

Sgnture Dte

TO BE COMPLETED BY THE PERSONAL REFEREE

Te ptorl reeree mut be unrelte to te pplcnt n mut e known te pplcnt or t let two yer.

Plee return t orm rectly to te pplcnt n ele n gne enelope o tt tey my ubmt ll component

togeter n one pcket.

I you e ny queton, plee eml [email protected].

Nme

Age

Pone

Are

Cty, tte, zp/pot coe, country

Eml

Personal Recommendation Form, 09-08-2011


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22

. How long e you known te pplcnt? How well o you know m/er?

. Wt reltonp o you e to te pplcnt?

. Plee ecrbe your unertnng o te pplcnt ntenton or /er tme n IHOPU tuent or ntern.

. IHOPU progrm cont o ey weekly ceule. Do you oreee culte or te pplcnt wt ceule

combnng g expectton n extene tme contrnt?

5. From your oberton, wt re te trengt n prtul gt o te pplcnt?

. From your oberton, wt re te pplcnt weknee n truggle?

. Are you wre o ny complex mly or reltonl ctor wc mgt fect te pplcnt nolement t IHOPU?

Personal Recommendation Form, 09-08-2011


21/27

3Personal Recommendation Form, 09-08-2011

. Plee e te pplcnt n te ollowng re.


Sprtul mturty

Deoton to Jeu Crt

Integrty n onety

Openne to correcton

Sel-cplne

Workng wtout uperonWllngne to ere

Ablty to work wt oter

Communcton kll

Leerp kll

Relblty

Tecblty

Emotonl tblty

Pycl elt

Fmly le


. Do you recommen t pplcnt or IHOPU?

Hgly recommen Recommen Recommen wt reerton* Do not recommen*

*Plee expln:

. Do you upport te pplcnt econ to moe to Kn Cty n IHOPU tuent or ntern? Ye No

Wy or wy not?

Atonl comment:

Sgnture Dte


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44 Personal Recommendation Form, 09-08-11



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1Internship Application Addendum, 09-08-11


INTERNSHIPS APPLICATION ADDENDUM

CHILDREN

. I woul lke to regter my clren ge (wlkng -yer-ol) or IHOPKC clren trck.

Nme Gener Dte o brt

M F

M F

M F

M F

. Do you e ny clren ge wo you woul lke to prtcpte n te nternp progrm wt you?

Ye No

I ye, plee e tem nclue wrtten tetmony n ttement o wt tey ope to get out o te nternp.

. Do ny o te clren tt re ttenng requre mecl cre, e pecl nee or beorl ue, or nee

mecton? Ye No

I ye, plee ttc eprte eet o pper ltng ny ue, mecton, or oter concern.

FINANCES

. How o you pln on pyng te ull mount o te progrm tuton?

. I you re pplyng or te One Tng or Fre n te Ngt nternp, progrm tuton nclue tree mel per yn te ceter n orm-tyle oung. Beyon tuton, ow wll you proe or expene uc lunry, pone,

peronl upple, n recreton?


24/27

2 Internship Application Addendum, 09-08-112

. I you re pplyng or te Intro to IHOPKC or Smeon Compny nternp, progrm tuton oe not nclue ny

oung or mel. You mut meet te ollowng mnmum nncl requrement:

Sngle: $/mont

Mrre: $,/mont

Mrre wt clren: $,/mont

Beyon tuton, plee expln your nncl pln or upport, nurnce, trnportton, oung, oo, recreton, n

oter expene.

DATING

. Are you currently engge or n tng reltonp? Ye No I ye, nwer te ollowng queton.

. I ccepte nto te nternp, plee expln ow you pln on jutng your tng reltonp ccorng to te

nternp tng polcy (ee te IHOPU Internp Guelne n te mn pplcton orm).

. I te peron you re tng tuent t IHOPU or pplyng or n nternp or progrm t te me tme you?

Ye No I ye, plee ge etl.

MUSICAL TRAINING

. Are you nger? Ye No Plee rte your leel o experence.

None Mnml Moerte Procent

Htory o tkng ocl leon

Experence wt le bn

Experence wt perormng

Procency wt your oce

Experence leng worp

Atonl comment:


25/27

3Internships Application Addendum, 09-08-11

. Are you mucn? Ye No Plee rte your leel o experence on your prmry ntrument.

Prmry ntrument:

None Mnml Moerte Procent

Sgt reng

Plyng by er

Reng note

Reng cor

Htory o tkng muc leonExperence wt le bn

Procency on your ntrument

Experence leng worp

Atonl comment:

. Do you ply ny oter ntrument? Ye No Plee lt tem below n orer o procency.

. Do you pln to uton or worp tem wle you re t IHOPKC? Ye No

I ye, plee expln n wt cpcty you re opng to be nole.


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44


Internships Application Addendum, 09-08-11


27/27

BACKGROUND CHECK AUTHORIZATION

Ec ntern wll e erce our urng ter Interntonl Houe o Pryer Unerty nternp. Some o tee our

my nclue workng wt te clren mntry o te Interntonl Houe o Pryer. We tereore requre tt ec

pplcnt ll out n gn t orm to utorze bckgroun ceck. T wrtten utorzton requre to complete

te pplcton proce.

Nme

Dte o brt

Socl ecurty number

Drer lcene number

Iung tte o rer lcene

Complete re lte on rer lcene

He you eer been reporte to Socl Serce Agency/Deprtment o Fmly Serce? Ye No

I ye, plee expln.

He you eer been ccue o or reporte or pycl or exul bue? Ye No I ye, plee expln.

I ttet tt te boe normton true n correct to te bet o my knowlege. I ereby ge permon to te

Interntonl Houe o Pryer o Kn Cty (IHOPKC) to netgte my bckgroun n ceck reerence t relte to

my workng wt clren n yout urng te nternp I m pplyng or. I unertn t coul lo nclue polce

bckgroun ceck well netgton by proeonl gence. I lo unertn tt I my wtol my permon

n tt n uc ce, no netgton wll be one n my pplcton or te nternp wll not be procee urter.

Sgnture Dte

__________________________________________________________________________________________________Nme o nternp (plee prnt)

IHOPU Application 090811

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Transcript of IHOPU Application 090811