2019 BLUE Missions Summer Internship Application
Thank you for your interest in applying for a BLUE Summer Internship. If you are interested in participating on a 2019 service trip, we encourage you to apply for that trip first. In the event that you do not get the internship, you still have a spot on the trip. If you are granted the internship, the $250 deposit from the trip application will be transferred to the internship fee.

Please fill out this application with the most up-to date information. Please answer all questions carefully.

Email address *
Applicant's Name *
Your answer
Gender *
Email Address *
Your answer
Phone Number *
Your answer
Mailing Address *
Your answer
Date of Birth *
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T-Shirt Size *
Emergency Contact Name *
Your answer
Relationship to Applicant *
Your answer
Emergency Contact Phone Number *
Your answer
Emergency Contact Email *
Your answer
Full Name as it Appears on your Passport *
Your answer
Passport Number *
Your answer
Expiration Date on Passport *
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What is your state of residence (according to your driver's license)? *
Your answer
Please select the internship dates below that you would like to apply for:
First Choice *
Second Choice *
What college/university do you currently attend? *
Your answer
What's your major? Minors? *
Your answer
What year are you in college? *
Medical Information
Your response on this form certifies that your statements below are true. BLUE Missions Group reserves the right to refuse participation at the volunteer’s expense due to misrepresentation of medical and biographical information. Please note that personal medical information may be submitted to BLUE leaders to assist with any health related issues while on the trip.
Have you ever been medically diagnosed with any of the following conditions? (Check all that apply.) *
Required
List any major accidents, illnesses or operations you have had in the past five years. *
Your answer
List any/all physical/mental limitations or medical conditions that may restrict your ability to climb/carry equipment/perform manual labor on this expedition. *
Your answer
List any/all medications (including prescription medication) that you will be taking on this trip and why: *
Your answer
List any/all allergies to food and/or medication: *
Your answer
Dietary Restrictions *
Are you familiar with standard first-aid and current CPR techniques? *
Do you carry any medical insurance? *
At BLUE Missions, our interns are a huge part of our organization and the way that we lead service trips. The questions below allow us to get to know you better. Please take your time answering them. Be as detailed as you would like.
Languages Spoken *
Required
Have you ever traveled abroad? *
Have you participated on any short-term mission trip in the past? Do you have any leadership experience? (Explain) *
Your answer
Have you previously been on a BLUE Service Trip? When? *
Your answer
In a paragraph, please tell us why you would like to be a 2019 BLUE Intern? What do you hope to gain from this experience? (Explain) *
Your answer
What characteristics does a BLUE trip leader have? (Explain) *
Your answer
Why should we choose you as an intern? Do you have the characteristics you mentioned in the previous question? (Explain) *
Your answer
How would you improve the BLUE experience? (Explain) *
Your answer
What are your expectations as a BLUE intern? (Explain) *
Your answer
What are your goals after graduation? (Explain) *
Your answer
Have you ever been convicted or pled guilty or no contest to a charge involving any offense against a minor/sexual offense/felony? *
Picture & Video Release
I hereby grant permission to the rights of my images, likeness and sound of my voice as recorded on audio or video without payment or any other consideration. I understand that my photographs or videos may be edited, copied, exhibited, published or distributed and I waive the right to inspect or approve the finished product wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of my image or recording.
I have read and agree to the Picture and Video Release statement above. *
Code of Conduct Contract
I acknowledge and understand that I will be working in a foreign country and that I will follow all instructions, rules, and regulations on appropriate behavior in the particular foreign country where I volunteer. This will include but not be limited to the use of alcohol, drugs, cigarettes, profanity, sexual comments, or a romantic relationship with anyone while on this trip. I acknowledge and understand that violation of any rules and regulations are grounds for immediate removal and return to the United States at my expense.
I have read and agree to the Code of Conduct Contract statement above. *
Electronic Signature *
Your answer
Today's Date *
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A copy of your responses will be emailed to the address you provided.
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