Application - CV Internship

ChildVoice Internship Application

*PLEASE READ BEFORE STARTING: Thank you for taking the time to fill out this application. Please note that if you do need to save and continue at a later time, you may send a draft to your email without having to create a Jotform account. There is a $75 payment required at the end of this form to process your application and cover the cost of a background check. This fee is included in the total trip cost. The information collected here is confidential and will only be used for traveling purposes. If you have any questions before starting this process, please reach out by phone (563.349.8899) or email (haley.westerkamp@childvoice.org).

General Profile Information
Full Name (As it appears on your passport)*

First NameMiddle NameLast Name
Preferred Name / Nickname
Gender*
*For housing purposes
Date of Birth*

MonthDayYear
Date
Marital Status *
*For housing purposes
Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Email*
Phone Number*
Preferred Method of Communication

Education
High School Graduation Year*
(or expected year)
Name of University (if applicable) *
Years Completed*
University Graduation Year*
(or expected year)
GPA*
Major/Minor*
Languages Spoken*
Please indicate proficiency
Please list any relevant, further/additional schooling or specific training:*
(Also include certifications or vocational trainings)
What strengths, skills, and abilities are you hoping to contribute to ChildVoice through this internship opportunity? *
Do you hold any first aid certifications?*

YesNo
If yes, which one(s)?
Please upload a copy of your resume here if you have not already submitted it:

Browse Files

Cancelof

Travel Information
In regards to your PASSPORT, which of the following is true?

I have not applied for a passport.My passport application is in progress.I have a passport, but I need to renew it.My current passport is valid for at least 6 months after my proposed trip dates.
Passport Number (*if you have it)
In regards to flying out, which of the following is true?

I will fly in and out of the same airport.I will need to fly out of one airport and into another.
If you need to fly out of different airports, please explain:
AIRPORT Preference(s)*
In order of preference
AIRLINE Preferences:
*If applicable
Frequent Flyer Number 1
*If applicable
Frequent Flyer Number 2
*If applicable
List your previous international travel experience (if applicable). Please note briefly the location, date, length of time abroad, and the reason for your trip(s).*
Describe your experience living or working with other communities and cultures. Do you feel well prepared to participate in an international internship opportunity? Why or why not?*
How have you experienced culture shock before? How did you work through it?*
If you are planning to fundraise for this opportunity, what is your experience with fundraising? What do you believe will be some of the most effective ways to fundraise in your network and community? *

Essay Questions
1. Have you discussed the possibility of interning with ChildVoice with your support network (i.e. parents, guardians, mentors, professors, friends, etc.), and what was their response?*
2. What concerns or hesitations do you have about interning with ChildVoice or traveling to Uganda/Nigeria? What do you expect will be the most challenging for you personally?*
*Could include fundraising, traveling internationally, transitioning back home, etc.
3. Why is this internship opportunity through ChildVoice appealing to you? Describe your career and personal goals and how participating in a CV Internship would move you toward these goals. *
4. What specifically are you planning to research, and how do you envision carrying that out?*
*A more complex research proposal will be asked for at a later date.
5. How would you describe your religious or spiritual background? If you currently have a faith practice, how does that affect your day to day life? *
6. Are you willing to forego personal preferences to respect culture? Please give an example of how you have had to do so in the past and what your response was. *
7. Would you describe yourself as flexible? Why might it be important to maintain a sense of flexibility in traveling and working in this region? *
8. In regards to working cross-culturally in low-income areas and with high-risk populations, what does it mean to you to “help without hurting”? Why is that important? In relation to your research, how might you suggest doing the most effective work without inadvertently inflicting harm?*

Reference Information

As part of our application process, we ask that you supply contact information for two references on your behalf. Please check in with them before listing them here and alert them that we will be contacting them directly via email. We ask that you give information for two different of the following: academic, pastoral, or professional.
REFERENCE 1:
Reference Type*
Name*
Relationship*
Email*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*
REFERENCE 2:
Reference Type*
*Different than the first one
Name*
Relationship*
Email*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

THE REST OF THE PROCESS

Thank you so much for taking the time to fill out this application. We are asking you to put the first $75 down as a non-refundable internship deposit, which will cover processing fees for the application and background check expenses. Once you have submitted your application, we will review it, and our background check provider (Clear Investigative Advantage) will get in touch with you to gather the necessary information to run the check. Once you are cleared and we've reviewed the medical disclosure and treatment form (sent to you after the background check), we will continue to prepare you to travel abroad! We will assist you with project development, all the logistics of travel, perform individual trainings providing cultural context, fundraising coaching, and so much more. We are looking forward to working with you!

Payment information

Payment Required:

Application Fee$75.00

This is a non-refundable trip deposit covering the cost of the processing fees for the application and background check.

Credit Card

Should be Empty:

	Not me	Not really me	Neutral	Somewhat me	Totally me
Responsible
Takes initiative
Works best in a team
Adjusts quickly to change
Respects others with differing opinions
Handles stress effectively
Thrives under pressure
Detail oriented
Thrives without structure
Communicates effectively
Follows through on commitments
Effectively resolves conflict
Considerate to others
Able to maintain healthy friendships with women
Able to maintain healthy friendships with men
Copes well with ambiguous situations
Emotionally stable
Makes decisions quickly

ChildVoice Internship Application

ChildVoice Internship Application

General Profile Information

Education

Travel Information

Essay Questions

Personality Information

Reference Information

Payment information

Credit Card