First Name:
Last Name:
Address:
City:
State:
Zip:
Home Phone:
Cell Phone - enter if available
Email:
Date of Birth - mm/dd/yyyy:
Home Church:
CrossRoads Missions has internship opportunties in Piedras Negras, Mexico, Appalachia Kentucky, New Orleans, and in the inner cities of Cincinnati and Louisville. Please indicate by your selections below your choices for service areas.
First Choice:
<-- Please Select -->
Appalachia
Inner-City
Help Build Hope
New Orleans
Piedras Negras, Mexico
Second Choice:
<-- Please Select -->
Appalachia
Inner-City
Help Build Hope
New Orleans
Piedras Negras, Mexico
Third Choice:
<-- Please Select -->
Appalachia
Inner-City
Help Build Hope
New Orleans
Piedras Negras, Mexico
Fourth Choice:
<-- Please Select -->
Appalachia
Inner-City
Help Build Hope
New Orleans
Piedras Negras, Mexico
Fifth Choice:
<-- Please Select -->
Appalachia
Inner-City
Help Build Hope
New Orleans
Piedras Negras, Mexico
Are you applying for a summer internship or for a year long internship?
<-- Please Select -->
Summer
Year Long
Employer 1:
Supervisor:
Telephone:
Position Held:
Duties/Description:
Employer 2:
Supervisor:
Telephone:
Position Held:
Duties/Description:
Employer 3:
Supervisor:
Telephone:
Position Held:
Duties/Description:
Please indicate here any languages, other than English, that you are skilled in:
Degree of fluency:
If you have participated with CrossRoads Missions on a mission trip, please indicate where and when, otherwise please leave as is:
What are your future plans? Please include plans about graduate school or another school you desire to attend, along with any plans you have after college or grduation.
Share with us the story of your relationship with God.
Why do you desire this internship?
What are your expectations for this internship? (Example: what do you think you will learn? What do you think you will be doing?).
List at least one of your strengths and tell why you feel this would be beneficial as an intern with CrossRoads Missions.
List at least one weakness that you see in yourself and how you think being a summer intern could help you overcome this?
What have you been learning about God in the last six months? What are some specific wasy - i.e. books, movies, people, events.
Please describe any previous experience with mission work or service projects not with CrossRoads Missions.
Briefly explain why you would make an excellent CrossRoads Missions intern.
Is there any information or concerns that you would like to add, please enter it here is so?
Biblical Knowledge:
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Dependability:
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Cooperativeness:
Select One
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Ability to manage and motivate others:
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Involvement in church activities:
Select One
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Ability to relate to strangers:
Select One
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Ability to lead small groups:
Select One
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Servant Spirit:
Select One
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Ability to handle demanding work loads:
Select One
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Ability to communicate to large groups:
Select One
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Ability to address conflict:
Select One
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Abilty to take initiative:
Select One
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Ability to relate to peers:
Select One
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Please select four of the below items that best describe you.....
Please provide a brief description of your skill level and interest for the items you have selected above.
Please provide the complete address of the college that you are currently attending or have attended:
Major:
If still in college, anticipated graduation year:
Select One
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
Most meaningful portion of Scripture (reference):
Favorite Past-time:
Favorite Food:
Favorite Snack:
Hometown:
T-shirt Size:
My initials in the box below indicate that all of the information provided by me in this Online Application is true and accurate to the best of my knowledge. Preliminary to my potential acceptance as an Intern, I further give permission to CrossRoads Missions to contact my references and to validate all information within this application.
Server Date and Time stamp of this application:
09/10/2010 10:44:09
