Healy Transformation Center - Intern Application Form

Healy Transformation Center
Intern Application Form

Please complete this form as accurately as possible. All personal details will be treated with the strictest confidentiality.

** PLEASE NOTE **
There is a $75 non-refundable processing fee for each application.
Please note that you will need to prepare a brief Pastoral or Overseer reference with this application. This letter will need to be emailed to healytransformationcenter@gmail.com with your full name in the subject line.
 
 
 
 
 
 
 
Please select all that apply.
Spiritual History

 
 
 
 
Please select all that apply.
 
 
 
 
Please select all that apply.
 
 
 
 
Please select all that apply.
 
 
 
 
 
Please select all that apply.
 
 
 
 
 
Church History

What Church do you currently attend?
 
 
 
 
What Church did you attend prior to your present Church?
 
 
 
 
Background Information

Please select all that apply.
 
 
 
 
Please select all that apply.
 
 
 
 
Criminal Records Check Authorisation

 
 
 
 
 
 
 
 
*Note – Your SSN and Driver’s License number will remain a matter of private information and will not be disclosed for purposes other than processing a criminal records check.
Emergency Contact

 
 
 
 
 
 
Processing Fee

There is a $75 non-refundable processing fee for each application.
$75
 
Agreement and Signature

Please select all that apply.
 
 
 
 
 

Description

Healy Transformation Center
Intern Application Form

Please complete this form as accurately as possible. All personal details will be treated with the strictest confidentiality.

** PLEASE NOTE **
There is a $75 non-refundable processing fee for each application.