Internship Application
Please read slowly and carefully EVERYTHING on this page!
First of all, we want to thank you in advance for your willingness to serve with us. We want to accomplish great things for God and for this we need people, just like you. We need skills, knowledge, resources, time, we need to sacrifice things for the sake of the Gospel of Christ, but more than everything, we need sincere and pure hearts with a desire to serve God with the right motivation. If you meet these requirements you have just a few more left.

You can start by filling the blank spaces below with the proper, real information.

If you see the symbol “ * ” near to a field, it means is required to fill it in but we would like all the fields to be filled. Choosing to not give all the information will affect your acceptance. The information you give will remain confidential.

General Information
First Name *
Your answer
Last Name *
Your answer
Name/Nickname (how your friends call you/how you like to be called)
Your answer
Current mailing address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Phone Number
Your answer
Cell Number *
Your answer
Email *
Your answer
Birth date *
MM
/
DD
/
YYYY
Gender *
Marital status *
Any Children?
Your answer
Emergency contact information (parents)
Father's Name *
Your answer
Mother's name *
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Education
1. Highschool *
Your answer
Year of graduation *
Your answer
2. College
Your answer
Year of graduation
Your answer
Course of major
Your answer
Degree
Your answer
Other
Your answer
Employment history
List the last two places of work
1. Company
Your answer
Manager
Your answer
Phone
Your answer
Date of emplyment
Start date and end date (mm/dd/yyyy)
Your answer
Description of work
Your answer
Reason for leaving
Your answer
2. Company
Your answer
Manager
Your answer
Phone
Your answer
Date of emplyment
Start date and end date (mm/dd/yyyy)
Your answer
Description of work
Your answer
Reason for leaving
Your answer
Personal history
Please answer the following questions carefully and truthfully.

- Have you ever been involved in the abuse of alcohol or illegal drugs?
- Have you ever been arrested for committing a crime?
- Have you ever been involved in the physical or sexual abuse of another person?
- Have you ever struggled with anything serious like an eating disorder or pornography?
- Have you ever had professional counseling?

If yes to any of the previous questions, please explain below or on a separate sheet:
Start with new paragraph for answering each of the "yes" questions
Your answer
Do you have any debt? *
If yes, please explain explain how you plan to handle your financial obligations while participating in the Internship program with us
Your answer
Are you currently involved in a dating relationship? *
If yes, for how long?
Your answer
How would you describe the relationship?
Your answer
Biographical information
Please briefly address the following questions
1. Describe how you became a Christian and the steps of growth in your spiritual life (minimum 400 words) *
Your answer
2. What are your expectations for the internship program? *
Your answer
3. In what areas do you feel you need to grow? *
Your answer
4. What has been the biggest area of growth in your life - spiritually - this past year? *
Your answer
5. How do you study the Word of God? Do you study daily? What are you learning right now and how is it being applied to your life? *
Your answer
6. Please provide a summary of previous leadership, camping or wilderness experiences *
Your answer
7. List personal talents, certifications, skills, and training that you possess *
Your answer
8.What hobbies and forms of recreation do you enjoy? *
Your answer
References
Put the names of the people that are going to write us about you.
Reference #1: Pastor or Youth Pastor *
Full name & Position
Your answer
Length of acquaintance *
Your answer
Church name *
Your answer
Email *
Your answer
Phone Number *
Your answer
Skip this employment section if you skipped it earlier
Reference #2: Employer
Full name & Position
Your answer
Length of acquaintance
Your answer
Email
Your answer
Phone Number
Your answer
Reference #3: Teacher or Mentor *
Full name & Relationship
Your answer
Length of acquaintance *
Your answer
Email *
Your answer
Phone Number *
Your answer
Reference #4: Friend *
Full name
Your answer
Length of acquaintance *
Your answer
Email *
Your answer
Phone Number *
Your answer
Please have the all references filled out and the attached recommendation forms and directly return the forms to LIFE Romania. A relative may not be used for any of the references. *
Does LIFE Romania have your permission to contact any or all of these references?
Recommendation form
Name of applicant *
Your answer
The above applicant has submitted your name as a reference for their participation in the Life Impact For Eternity (LIFE) Internship Program. Serious consideration will be given to your evaluation. We value you as a reference concerning the applicant’s character, experience, and aptitude for this program. Please provide us with as much information as possible so that we can accurately appraise their qualifications. Your cooperation in completing and promptly returning this form would be greatly appreciated. Be assured that your responses will be held in strict confidence – Thank you!
How long have you known the applicant? *
Your answer
Your name *
Your answer
Relationship to applicant *
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Email *
Your answer
Phone Number *
Your answer
Check the number you believe best describes the applicant

0 = unknown
1= poor
2 = minimal
3 = average
4 = excellent
5 = outstanding

Relational Skills
Positive, contagious spirit *
Self-confidence *
Ability to communicate clearly *
Adaptability *
Ability to receive correction *
Emotional stability *
Ability to make good decisions *
Servant attitude *
Ability to deal with conflict *
Teachable attitude *
Ability to handle stress *
Responsibility *
Work ethic *
Any added thoughts?
Your answer
In what area does the applicant excel? *
Your answer
What one challenge would you give the applicant for their personal growth? *
Your answer
Read very carefully:
By registering and participating in the events organized by the Life Impact For Eternity (LIFE Romania), hereby declare that I am mentally and physically fit and I have a proper physical preparation for participation in this camp.

In case of an accident/injury I am aware that these are risks that I need to assume and I will not make any complaint agains the organizer.

Apart from this, I agree that photos and videos made during the event can be copied and published without claims for damages.

Camp Organizer assumes no responsibility for any accident or injury occurred during summer camp & other events. You will participate on your own risk.

You have to agree with both of the requirements below *
Required
For any additional information and questions, don’t hesitate to write us at the email address info@liferomania.org
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