Intership Program

Thanks for your interest in participating in La Mision Intership Program!! Please take some time to fill out the following application. This is a template designed to allow you to fill-in-the-blanks. If you need more space, continue typing and another line will appear. You can move from field to field using the [tab] key, or the arrow keys. When you are asked to respond to a “Yes” or “No” question, you can use your cursor (place the cursor over the appropriate box and “click”), or you can use your keyboard (when you have used the [tab] key to move to the boxes, you will notice that the box becomes “bold” – press your spacebar to indicate the bold box is your choice). If you “check” a box in error, repeat these same steps to undo your choice, and make the correct choice. If you have any questions, or experience difficulty with this form, please feel free to contact me and I will do my best to assist you! I look forward to seeing what God has in store for you!! Blessings, La Mision

Name (*)

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Photo (*)

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Email Address (*)

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Address (*)

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City (*)

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State (*)

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ZipCode (*)

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Phone (*)

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Date of Birth (*)

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have you been on mission trips? (*)

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If yes please describe (*)

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Current Occupation - Grade in School (*)

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Father name (*)

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Mother name (*)

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Brothers & Sisters (Names/Ages) (*)

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Tell us a little bit about yourself. What are your favorite activities (hobbies, talents, skills, interests, school activities)? What are your favorite classes in school? (*)

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What relationship do you see between this intership opportunity and/or your future goals? (*)

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Please indicate the areas in which you have interest and/or experience (check both if they apply).

Leadership Skills

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If Experence please describe

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Painting

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If Experence please describe

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Accounting

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If Experence please describe

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Bible study leading

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If Experence please describe

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Mechanics

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If Experence please describe

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Computers

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If Experence please describe

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Teaching

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If Experence please describe

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Electrical

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If Experence please describe

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Medical

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If Experence please describe

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Worship leading

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If Experence please describe

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Sewing

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If Experence please describe

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Sports

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If Experence please describe

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Agriculture

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If Experence please describe

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Cooking

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If Experence please describe

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Kid’s activities

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If Experence please describe

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Drama, puppets

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If Experence please describe

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Singing

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If Experence please describe

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Arts/Crafts

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If Experence please describe

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Carpentry

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If Experence please describe

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Evangelism

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If Experence please describe

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Play Instrument

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If Experence please describe

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Faith Experience

Religion (*)

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If other please describe (*)

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Home Church? (*)

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How long have you been a Christian? (*)

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Testimony (*)

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How have you grown spiritually in the last few months, and what are some things you have been learning about yourself and about God? (*)

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Studies

What collegue/university do you attend? (*)

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Do they have an intership program currently? (*)

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What is your major? (*)

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What are your expectations for this intership? (*)

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Personal Growth


Spanish skills. Rate your abilities on a scale from 0 to 5 (0 equals no ability, 5 equals fluency).

Conversational (*)

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Reading/Writing (*)

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Currently studying spanish? (*)

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Evaluate yourself with respect to the following characteristics : 1 = Needs work 3 = Average 5 = Exceptional

Commitment to Christ (*)

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Listening Skills (*)

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Flexibility (*)

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Dependability (*)

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Patience (*)

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Cooperation (*)

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Organization (*)

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Communication Skills (*)

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Willingness to be open (*)

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Initiative (*)

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Sensitivity (*)

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Decisiveness (*)

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Confidence (*)

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Respect for Authority (*)

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Describe any team involvement, leadership, or ministry work you have had at work, at school, or as a volunteer over the last several years. (*)

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Do you have a physical condition that would prevent you from participating in ordinary activities (any physical limitations)? (*)

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If yes, please explain.

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Health/Medical Information

Are you currently, or have you in the past 4 years, sought professional help for health problems, depression, psychological or physical addictions, or high stress? If yes, please explain below. (*)

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Do you have any ALLERGIES (food, environmental, animals, etc.) which might be of concern during your stay in Guatemala? (*)

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If yes, please explain.

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Do you have any dietary concerns/preferences (lactose intolerant, vegetarian) which might be of concern during your stay in Guatemala? (*)

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If yes, please explain.

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Are you currently taking any medication? (*)

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If yes, please explain.

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Do you have any allergies to medications? (*)

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If yes, please explain.

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If yes, please explain.

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If you have not done so, please arrange for appropriate international services and treatment. Please provide La Mision with a list from your insurance carrier of approved hospitals in Guatemala, and remember to bring proof of insurance.


Emergency Contact Information


PLEASE PROVIDE US WITH AT LEAST TWO EMERGENCY CONTACTS.

Name, Relationship, Phone Number(s), Email (*)

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