Internship Application
Thank you for considering the Dignata Internship. We look forward to reviewing your application! After we receive your completed application and reference, we will notify you of the decision made regarding acceptance via the email you provide.
Name *
Full legal name
Your answer
Address *
Your answer
City, State/Province, Postal Code, Country *
Your answer
Email *
Your answer
Phone number *
Your answer
Skype ID (or other: WhatsApp, FaceTime, FaceBook)
Your answer
Which year are you applying for? *
Required
Date of Birth *
MM
/
DD
/
YYYY
Gender *
Place of Birth (City, State, Country) *
Your answer
Driver's License or ID Number (State and Country) *
Your answer
Do you consent to a background check? *
Passport Information

This section is important to have on file when on a Dignata outreach overseas; or if you are coming from overseas.
Do you have a valid Passport? (If yes, please fill out the info regarding passports below.) *
Name as written on Passport
Your answer
Country of Citizenship
Your answer
Country of Issue
Your answer
Passport Number
Your answer
Expiration Date
MM
/
DD
/
YYYY
CHILDREN'S PASSPORTS
(SKIP THIS SECTION IF YOU DON'T HAVE KIDS.)
LIST CHILDREN'S PASSPORTS BELOW: Passport Number, Name, Country of Citizenship, Country of Issue, and Expiration Date.
Your answer
List two emergency contacts and relation to you: *
Your answer
Family Life
Where do you currently reside? *
Marital or Relationship Status *
If married or in a relationship, are they applying too?
Spouse/Significant Other's Name
Your answer
Do you have children coming with you? *
If yes, please list children's names, gender, and birth dates.
Your answer
If you are expecting a child, please give the expected due date:
MM
/
DD
/
YYYY
Christian Background and Involvement
Church denomination, affiliation, or attendance: *
Your answer
Name of your pastor or Christian leader: *
Your answer
Email: *
Your answer
Phone Number:
Your answer
Describe your relationship with your pastor/Christian leader or mentor: *
Your answer
Describe your involvement with your church or other Christian group: *
Your answer
What other organizations or groups have you participated with/in? What was your involvement?
Your answer
List any training schools or courses you have taken.
Your answer
List any outreaches, and mission trips including locations and dates (and the organization/church).
Your answer
Background Information
All Information is confidential, and does not preclude your acceptance to our organization.
Are there any situations that might affect your Internship with Dignata, such as past, current, or pending legal proceedings, domestic/family matters, etc.? Please explain: *
Your answer
Have you ever had any difficulties with the law, such as misdemeanors or felonies? If yes, explain below. *
Your answer
Do you have current or past addictions of any kind that you struggle with?
Your answer
Health
Do you have any health concerns or problems that may interfere with your ability to work? *
If yes, please explain:
Your answer
Are you able to perform tasks such as sitting/standing long periods, walking long distances, or doing physical work? *
Do you have any behavioral, mental, or emotional conditions/disorders? (Ex: anorexia, OCD, bipolar disorder, anxiety, depression, ect.) Please explain. *
Your answer
If yes, do you currently take any medications related to the above information?
Your answer
Education and Experience
Describe your educational history *
Area(s) of study/degree?
Your answer
Employment and Activities
What is your current employment? (Location and position) *
Your answer
Please list employment positions you've held within the last 2 years (position and location): *
Your answer
What other activities/groups are you involved in?
Your answer
Work Duties at Dignata's School
All interns will participate in non-paid, volunteer work positions while attending at Dignata Ranch. Letting us know your preferences for work duties, does not guarantee you will be placed in that position, but we will do our best in placing interns in their preferred areas, as there is need. However, we look for interns who have a servant's heart and help where needed.
What would be your areas of preference/interest in serving at Dignata during the school?
I would like to help with
Marketing and Promotions
Website Development
Graphic Design
Videographer/Editor
Social Media
Sales
Raising Awareness of Exploitation
Grounds & Property Work
Hospitality
Kitchen and Food Prep
Gardening
Worship
Creating Kids' Programs
Will you have a vehicle at this school? *
What are your plans for this year if not accepted? *
Your answer
Do you have any questions for us at Dignata?
Your answer
Next
Never submit passwords through Google Forms.
This form was created inside of Business For Orphans. Report Abuse - Terms of Service