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CAT-Children's Activity Truck
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Internship Questionnaire 2017
*
Indicates required field
Name
*
First
Last
Preferred Name or Nickname
*
Email
*
Birthday
*
Age
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Phone Number
*
Type:
*
----
Home
Mobile
Work
Other
Marital Status
*
----
Single
Engaged
Married
Gender
*
----
Male
Female
Church Information
Does your Pastor know of your desire to serve in the mission field?
*
Yes
No
What's the name of your church?
*
What is your church address.
*
Senior/Missions/Youth Pastor's Name
*
Church Website address
*
Pastor's E-mail Address
*
Your Pastor's Telephone Number
*
It is our policy to contact your references directly, introducing ourselves as an inner-city missions organization, and asking for their counsel and input regarding your application. We ask that your have your Pastor/Missions/Youth Pastor complete and return directly to us one
reference form
, and that you have three other spiritual leaders (
not family
) that have known you for no less than
one-
year submit one to us as well.
Emergency Contact Information
Emergency Contact Name
*
Relation to you
*
Emergency Contact phone
*
Type:
*
----
Home
Mobile
Work
E-mail Address
*
Christian Life and Calling
Describe your conversion experience and your present relationship with the Lord (Include things He has taught you or ways in which He is changing you
*
What are some of the methods you use to keep your relationship with the Lord vital and meaningful?
*
List 3 or more books that you have read within the last year (secular and Christian)
*
How do you know God has called you to serve with WFM and to serve as an Intern?
*
Please tell us how did you learned about our ministry?
*
Occupation
*
Interests and Hobbies
*
Missions Experience, Education and Abilities
How many short-term mission trips have you been on?
*
What are your personal and ministry goals for this 1-Year Internship?
*
Education (School Attended and Degrees earned)
*
List your talents, abilities, and gifts that can be useful in the ministry.
*
List your weaknesses and the areas in which you need to grow.
*
What ministries have you been involved in within your church?
*
Are you currently sharing your faith with others or discipling someone?
*
Yes
No
Past History and Personal Information
ALL INFORMATION IS KEPT COMPLETELY CONFIDENTIAL. Please answer the following questions thoroughly and honestly. We will not deny people acceptance to our program based on past or current struggles, but we do need to be aware of potential growth and discipleship areas.
Have you ever had or do you currently have problems in any of the following areas? Mark them and give a detailed description below.
*
Lawsuit of any nature
Civil or Military violaitons
Experiences with the occult
Use of illegal drugs and/or alcohol
Pornography
Psychological Issues (depression, eating disorder, suicidal thoughts, etc.)
Financial debt
Stealing
None
Give a detailed explanation below.
*
Describe your reputation; how do you think others see you?
*
How do you respond when things don't work out as you had planned?
*
How do you respond to the correction of others in your areas of weakness or when you make a mistake?
*
How do you wok in stressful situations?
*
How do you respond in a situation of conflict between you and another person?
*
Personality
Please number yourself from 1-10 depending on where you see yourself in the following spectrum (1 being extreme to the description on top and 10 on being extreme to the description at the bottom in orange).
Compulsion to work (1)
*
Slow to put out effort (10)
Challenge authorities (1)
*
Very Submissive (10
)
Focus on needs of others (1)
*
Focus on own needs (10)
Extroverted (1)
*
Introverted (10)
Firm and consistent (1)
*
Flexible (10)
Private (1)
*
Open (10)
Very emotional (1)
*
Very Controlled (10)
Medical History
We collect the following information and have it on file in case you have a medical emergency while serving with us. If you are accepted we will send you a Medical form to be completed by you or your parents.
Do you have any medical conditions that would prevent your from thriving in this type of ministry environment?
*
Yes
No
Are you currently taking any type of long-term medication?
*
Yes
No
Please describe any other allergies/intolerance you have (food, gluten, etc.)
*
How did you hear about WFM Internship?
*
Submit
Welcome!
About us
What We Do
CAC-Children's Activity Center
CAT-Children's Activity Truck
Gospel Lakes Camp
Get Involved!
Thanksgiving Day
Christmas Party!
Christmas Gifts
Kids Lunch
Serve!
Newsletter Archive
Donate
Prayer Requests
Contact us
BLOG
