Practicum Student Request Form Name First Last PhoneEmail* Ministry Department* How many students do you need per campus? Please list each campus you are requesting for and the number of students on that campus. Example 217- 3 students (We will place in Eugene if possible)*What day(s) of the week/ time slots are required/preferred* Weekly Tasks*Please list and describe weekly task lists that may be assigned to your practicum students. Special Projectseg. Youth Night, preaching at Mannahouse Kids, ect.Approximate weekly hours?* Will you be directly overseeing your practicum students?* Yes No If you answered no above, list the name & number of delegated direct oversight I plan to connect pastorally with my practicum student at least?* Once a week Bi-monthly Once a month Never, I don't like people Please select oneDesired Skill Set* Adminsitrative Leadership Creative Musician Worship Leader/Vocalist Graphics/Media Pastoral Team Player Detail Oriented Hospitality Photography Computer Skills Sound Engineer Bilingual Teaching/grading assistance Approximately how many total students do you need?* Is there anything else our placement team should be aware of?