BIPOC Internship Church Representative Application Form Host churches interested in receiving a BIPOC intern will need to complete an intercultural competence measurement. To begin that process, fill out this application form. Church Representative Name First Last What is your role at the church? Email PhonePlease select your districtNorth DistrictSouth DistrictEast DistrictWest DistrictPlease select your North District churchA Grain of Mustard Seed UMF - Las VegasAdvent UMC - Las VegasBoulder City UMCCommunity UMC - WilliamsCommunity UMC - CalienteDesert Spring UMC - Las VegasFederated Community Church - FlagstaffFirst Tongan UMF - Las VegasFirst UMC - WinslowFirst UMC - HendersonGlobal Community UMC - Las VegasGrace Fil-Am Ministry - Las VegasGreen Valley UMC - HendersonHolbrook UMCHope UMC - Bullhead CityJourney UMC - Las VegasMesquite UMCMohave Valley UMC - Fort MohaveNeedles Community UMFPage Community UMCPahrump Valley UMC - PahrumpParker UMCSt. John's UMC - KingmanSt. Michael's UMC - Lake Havasu CityTrinity Heights UMC - FlagstaffTrinity UMC - Las VegasUniversity UMC - Las VegasZion UMC - North Las VegasPlease select your South District churchCommunity UMC - BowieCatalina UMC - TucsonChrist Church UM - TucsonDesert Skies UMC - TucsonDuncan UMCEl Mesias UMC - NogalesFirst UMC - SaffordFirst UMC - EloyFirst UMC - TucsonFirst UMC - BisbeeGrace UMC - DouglasHuachuca UMCMenlo Park UMC - TucsonNew Hope UMC - TucsonPatagonia Community UMCSan Pedro Valley UMC - BensonSanctuary UMC - TucsonSanta Cruz Valley UMC - SahuaritaSierra Vista UMCSt. Francis in the Foothills UMC - TucsonSt. James UMC - TucsonSt. John's UMC - TucsonSt. Mark's UMC - TucsonSt. Paul's UMC - TucsonTrinity UMC - BisbeeUMC of Green ValleyUMC of the Good Shepherd - KearnyVista de la Montaña UMC - TucsonWillcox UMCOtherPlease select your West District churchAjo Federated ChurchCalvary UMC - PhoenixChino Valley UMCChrist Community UMC - AvondaleCity Square Church UMF - PhoenixCommunity Church of BuckeyeDove of the Desert UMC - GlendaleFaith UMC - PhoenixFirst UMC - PhoenixFirst UMC - GlendaleFirst UMC - YumaFirst UMC - Sun CityFort Yuma UMC - YumaGila Mountain UMC - YumaHaven UMC - JeromeLakeview UMC - Sun CityLiberty UMC - BuckeyeMaryvale Bridge UMC - PhoenixMission Bell UMC - GlendaleMountain View UMC - CottonwoodNew Song UMC - SurprisePrescott UMCPrescott Valley UMCSedona UMCShepherd of the Hills UMC - Sun City WestShepherd of the Valley UMC - PhoenixSpirit of Hope UMC - PeoriaSpirit Song UMF - PeoriaSunrise UMC - PhoenixTrinity UMC - PhoenixTrinity UMC - YumaWillowbrook UMC - Sun CityPlease select your East District churchArizona Korean UMF - PhoenixCentral UMC - PhoenixChandler UMCCross in the Desert UMC - PhoenixCrossroads UMC - PhoenixDayspring UMC - TempeDesert Chapel UMC- Apache JunctionDesert Foothills UMC - PhoenixDesert Mission UMC - ScottsdaleFirst UMC - GilbertFirst UMC - MesaFirst UMC - TempeGold Canyon UMCGrace UMC - MesaJourney UMF - MaricopaNorth Scottsdale UMCParadise Valley UMCPayson UMCPhoenix Native American Fellowship - PhoenixPrimera Iglesia Metodista Unida - PhoenixRed Mountain UMC - MesaScottsdale UMCShepherd of the Pines UMC - OvergaardSong of Life UMC - Queen CreekSpirit of Joy UMC - CoolidgeSt. Matthew UMC - MesaSt. Paul's UMC - GlobeSun Lakes UMCThe Bridge UMC - PhoenixThe Fountains, A UMC - Fountain HillsTongan UMC - MesaUMC of Casa GrandeVelda Rose UMC - MesaWesley UMC - PhoenixWhite Mountain UMC - Show LowWe have a variety of projects and opportunities for this internship program, which of the following interests you (check all that apply):(Required) Working with asylum seekers Working with affordable or attainable housing Working with community clinics to build holistic wellness centers Working with children Working with youth Working with a music team Working with community organizing Working with faith communities engaged in food relief programs Working with faith communities engaged in advocacy for our LGBTQIA+ neighbors Working in social media/marketing Working in leadership development and discernment for young adults Starting a spiritual entrepreneurship Starting a faith-based eco-tourism program that is centered on creation care and hiking Starting a community partnership/organization to meet the needs of our indigenous neighbors Are you able to contribute $5,000 a year to cover salary costs for your intern (with the New and Vital Faith Office contributing $15,000) for the next two years?(Required) Yes No Part of this program is engaging in dialogue and macro-expressions of intercultural work, including receiving an intercultural development inventory and plan, are you open to growing in your intercultural capacity? Yes No Maybe Please explain your Maybe selection if you like.Please share the names and email addresses of the 4-5 people who will work most closely with your intern or who are the strongest leaders in your church. Your application form is not complete until you and the rest of those you list complete an intercultural development inventory (IDI) that will be emailed to you. You will get the results in a group report during a debrief with Rev. Rachel Gilmore if you are accepted into the program.We’d like to get to know you more!Describe your church in 3-5 sentences.Describe your ideal intern in 3-5 sentences.What is your goal in hosting an intern for the next two years?Please share a link to your website and/or social media pages like Facebook so we can get to know your church community better.Are you currently paying all of your apportionments? Yes No Are you currently receiving funding from the New and Vital Faith Office? Yes No Please attach your 2021, 2022, and 2023 budget. Drop files here or Select files Accepted file types: pdf, doc, xls, xlsx, xlsm, xlsb, xltx, docx, Max. file size: 20 MB. Is there a particular young adult that has applied for this program that you would like to work with? Yes No Please list his/her/their name: Anything else you want us to know?Thank you for your interest, we will notify you in February when we have made the assignments and the program will begin in June of 2023.EmailThis field is for validation purposes and should be left unchanged.