12-Month Engage Houston Application

12-Month Intensive Internship Application

Please allow 7 days for us to contact you.
Name*

First NameLast Name
Birth Date*

MonthDayYear
Gender*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail*
Mobile Number*

Area CodePhone Number
Current Profession *
Do you have medical insurance? *
Church Home Name *
Pastor's Name *
Pastor's Email *
Emergency Contact Name *
Relationship to Applicant *
Phone Number*

Area CodePhone Number
Emergency Contact Address *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Do you agree with Engage Houston's statement of faith?*
If NO, please respond with why
Briefly describe your conversion experience and where you are currently in your relationship with the Lord. *
How comfortable are you working in a cross-cultural environment? *
What led you to believe the Lord is calling you to this community? *
What is your long-term dream or calling? *
Do you have any missions experience? If so please describe your experience*
What is your education level?*
What are your spiritual gifts? *
What are your talents or job skills? *
Ex. Marketing, Website Design
Are you actively sharing your faith now? If yes, please describe the circumstances.*
Have you ever struggled or are currently struggling with any of the following (select all that apply)*

Sexual Immorality (including pornography)Alcohol or Drug AddictionLazinessGreedAngerSlanderOther
If you said yes to any, please describe your experience with the struggle(s).
How do you work in stressful environments? *
What do you do when you disagree with your superior? *
How do you handle conflict on the job? *
How do you handle being corrected in a work environment? *
Additional Comments
Should be Empty:

12-Month Intensive Internship Application