APPLICATION FOR ENROLLMENT

Please fill out the form completely as well as two references with the form attached below. Please email or mail them to dora@pvwinona.com or Dora von Wald c/o Pleasant Valley Church 1363 Homer RD Winona, MN 55987.

You will receive an email within one week to confirm that your application was received and to set up an interview.  

Application deadline for the 2018/2019 ministry year is March 14. 

General Information
Name *
Name
Birthdate *
Birthdate
Phone *
Phone
Current Address *
Current Address
Gender *
Program Specifics
I am applying for the following hours per week: *
Interns work closely with a specific staff member and thus will have a specific ministry focus along with general responsibilities. Please choose the main ministry area you wish to serve in:
If, for some reason, your primary choice was unavailable, which would be your secondary ministry area to serve in?
Background Information
Have you ever been convicted of a crime other than a minor traffic violation? *
Are you currently enrolled at a college/university? *
Are you currently employed? *
Supervisor's Name
Supervisor's Name
Phone
Phone
May we contact?
We would only contact to use as another reference.
Leadership Focus
Pastoral Reference
Name *
Name
Phone *
Phone
Character Reference (This is someone who is a mentor, teacher, coach, leader, etc)
Name *
Name
Phone *
Phone

Thank you so much for your application for the PVLI!