Mission Intern / Campus Mission Intern Application

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Expressed Interest

Applying For*

Mission Intern
Campus Mission Intern

Personal Information

Name*

First Middle Last

Maiden Name (if applicable)

Preferred Name

Gender*

Male
Female

Social Security Number*

Date of Birth*

Place of Birth (city)

Place of Birth (state)

Place of Birth (country)

Ethnicity

African American
Asian
Caucasian
Hispanic
Native American
Other

Contact Information

Current Mailing Address*

Street Address City State / Province / Region ZIP / Postal Code

Email*

Cell Phone No.*

Work Phone No.

Can you be contacted at work?

Yes
No

What time would you prefer (generally)?

:

Family Information

Name of Parent/Guardian/Other (1)*

Address (1)*

Street Address City State / Province / Region ZIP / Postal Code

Age (1)*

Occupation (1)

Job role or type of work

Employer (1)

The company, organization, or institution

Christian Church Member of (1)

Church Name

Phone Number (Employer 1)*

Email (Employer 1)*

Name of Parent/Guardian/Other (2)

Address (2)

Street Address City State / Province / Region ZIP / Postal Code

Age (2)

Occupation (2)

Job role or type of work

Employer (2)

The company, organization, or institution

Christian Church Member of (2)

Church Name

Phone Number(Employer 2)

Email (Employer 2)

Church Membership Information

Church Name*

Is this church affiliated with a Denomination?*

Yes
No

If YES, which one?

Example: Baptist, Methodist, Presbyterian, Lutheran, etc.

Mailing Address*

Street Address City State / Province / Region ZIP / Postal Code Country

How long have you been a member of your present church?

Pastor's Name*

First Last

Email (Pastor)

Church Phone*

School Information

School Name*

School Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

School Phone*

I am currently a:*

High School Junior
High School Senior
High School Graduate
College Freshman
College Sophomore
College Junior
College Senior
College Graduate

Graduation Year*

GPA*

Have you ever been expelled from school?*

Yes
No

If YES, please explain*

Personal Growth

Please share your testimony; life before Jesus, how you came to know Him as your Savior, and what He means in your life today

Global Youth Ministry Agreement*

I agree

I AGREE TO THE GLOBAL YOUTH MINISTRY MINISTRY AGREEMENT (IF UNDER 18, AN EMAIL WILL BE SENT TO YOUR PARENT/GUARDIAN WITH A LINK TO A FORM THAT THEY MUST ALSO COMPLETE, AGREE TO OUR MINISTRY AGREEMENT AND SUBMIT FOR THIS APPLICATION TO BE CONSIDERED.) (NOTE: This agreement is under legal review and will replace signatures for all online applications.)

Headshot*

Accepted file types: jpg, gif, png, pdf, Max. file size: 2 MB.

Please upload a recent picture of yourself.

$50.00 application fee (A $200 deposit will be required to hold your space after acceptance!)

Payments can be paid online, Venmo @globalyouthmin, or by check and mailed to Global Youth Ministry, 40 Blackhawk Trail, Chatsworth, GA 30705. Please write in the “For” section on check the applicant’s name the fee should be applied to.

You will receive a confirmation email with instructions for paying the application fee online or by mail.

Mission Intern / Campus Mission Intern Application