First names:

Surname:

Address:

Postal Address:

(W) Telephone:

(H) Telephone:

Email:

Age:

Date of Birth:

Name of Church you are currently a member of:

Pastor’s Full Name:

Pastor’s Email:

Church Address:

Why do you want to be a part of the Intern Programme?:

Do you have any ministry experience? If so, please describe it:

Is there a particular aspect of AE ministry that you would like to be involved in?:

Profession / Occupation:

Do you have funds that would cover the costs of your stay with us? Approx US $15 per day; $450 per month in addition to personal requirements:

Please indicate the proposed date of your stay and how long you would like to serve as an Intern (see Ministry Dates ‘08 for current projects, etc.):

Do you have Medical Insurance? (Required if accepted) If so, please give details:

Any additional information you would like to provide in support of your application:

Write out your Testimony and Christian experience: