VELOCiTY Intern Program Application

VELOCiTY Intern Program Application
First Name
Last Name
Preferred Name
Date of Birth

MonthDayYear
Date
Gender
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Have you ever served on an All 4 Jesus Belize Mission Trip?
Do you have previous international missions experience?
Please share a brief personal testimony about your relationship with Christ and your work experience or spiritual giftedness. Please include how you feel called to international missions.
How did you hear about All 4 Jesus Belize?
Country of Citizenship
Do you have a current Passport valid for at least 6 months after your expected trip start date?
Passport Number
Passport Expiration Date

MonthDayYear
Date
Emergency Contact First Name
Emergency Contact Last Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Do you have any special dietary requirements?
Do you have any medical conditions or allergies?
Are you currently taking any medication we need to be aware of?
What medications
In what particular areas do you feel led to serve or lead
Please describe your particular area of service.
Do you have any of these spiritual giftings or abilities?
Please describe your spiritual giftings or abilities.
I affirm that I have a personal relationship with Jesus Christ and agree to serve in alignment with the mission and values of All 4 Jesus Belize.
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