Teaching Congregation Application for a Student Assistant Church Information Church Name * Church Address * Church Website Church Phone Number Denomination Supervising Minister's Name Years Serving This Church Supervising Minister's Phone Email Supervising Minister's Educational Background School Degreed Earned Dates Ordination Information Denomination Years Ordained Supervising Minister's previous experience supervising students School * Degree Program Years Lay Chair for Teaching Committee (Drew requires a 5-7 person committee to work with the student) Name Phone Email Drew students are from many racial/ethnic groups, denominations and both genders. Please specify any denominational or language requirements necessary for success in this placement. Brief site description of your community and distinctive ministry Description of your community Inner City Ubran Suburban Rural Traditional Church Plant Redevelopment Population Served (Please indicate percentages) African American Asian American Caucasion Hispanic Korean American Other Number of Active Members Average Worship Attendance Please specify hours by each ministry opportunity To receive a full learning experience at least three areas of ministry leadership should be indicated. Worship leadership Religious Ed (adult) Music/Arts Missions Adminstration Religious Ed (children) Pastoral Care/Visitation Media/Communications Planning Religious Ed (youth) Community Outreach Other End Date Student Stipend (We recommend a minimum of $4000 be paid annually to the student) Total stipend $ Travel Allowance $ Meals on site yes no Housing provided yes no Our administrative council or governing board has approved having a student in supervised ministry yes no Supervising minister agrees to meet with the student for theological reflection every two weeks for 1 to 1 ½ hours. yes no Submitted By Name Email