First Name: *

Last Name: *

High School: *

Grade: *

Date of Birth: *

Street Address: *

City: *

State/Providence: *

Zip Code: *

Email: *

Mobile Phone: *

Gender (optional)

Race (optional)

Parent or Guardian Name:

Parent or Guardian Phone Number:

Name of Church:

Name of Pastor/Youth Minister:

Can you perform the essential functions of the position as defined in the “Seek & Serve Internship Description”? List all reasonable accommodations you might need (diet, exercise, prescription medicine, etc.) if applicable. *

Yes

No

Do you speak another language other than English?

Yes

No

If yes, what other language(s) do you speak and what is your level of proficiency (basic vocabulary, conversational, fluent)?

Please list any skills and abilities that you would be beneficial to your Seek & Serve experience:

In the space provided, please specify all service-related activities and organizations you have been involved with over the past two years. This includes, but is not limited to, social service organizations, church activities, mission trips, and community service.

In the space provided, please specify all experiences you have had working with children over the past two years.

How did you hear about Project Transformation?

Why are you interested in completing the Seek & Serve High School experience?

Is there any additional information we should know when considering your application?

Please specify the weeks that you are available this summer. This will help us determine which week you could serve with us, if selected:

June 30 - July 5

July 7- July 12

July 14- July 19

Please specify any questions you have about Project Transformation Tennessee or its programs:

Seek & Serve Application

ABOUT US

HOW IT WORKS

OUR PROGRAMS

GET INVOLVED

Seek & Serve Application

ABOUT US

HOW IT WORKS

OUR PROGRAMS

GET INVOLVED

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