AIC Freedom School- Servant Leader Intern Application

Adventures in the City Freedom School- Servant Leader Intern Application

Please complete the form below to apply for this seasonal position with the Christian Activities Council's Adventures in the City Freedom School summer 2016 program.
Today's Date

MonthDayYear
Full Name*

First NameMiddle NameLast Name
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Email Address*
Phone Number*

Area CodePhone Number
YesNo
Are you a U.S. citizen with legal proof to work?*
1st Year/Freshman2nd Year/ Sophomore3rd Year/Junior4th year/SeniorCurrently enrolled in a graduate level programCurrently not enrolled
High School Graduate or EquivalentAssociate Degree from 2- year collegeCompleted a Bachelor's DegreeCurrently enrolled in a 2-year collegeCurrently enrolled in a 4-year collegeCurrently in graduate school
Current University/College
Current Declared Major
Previous High School
High School City, State
How did you hear about the Servant Leader Intern position for the Adventures in the City Freedom School program?*
YesNo
Are you fluent in a language other than English? If yes, please list.
Work/Volunteer Experience
Please upload resume*

Upload a File

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What makes you a good candidate for working with youth? What are your strengths in working with youth?*
What knowledge and skills have you gained from your experience in serving your school and or community?*
Supervision is one major responsibility of a camp counselor. What are some other responsibilities or expectations you can think of for being an effective youth worker?*
Please list any related skills, talents, certifications, past youth development or volunteer experiences, or interests which may support you in the role of Servant Leader Intern (youth worker) (ie child development course, teacher's aid, junior counselor, sports player, dancer, artist, etc:*
Are there any factors that will prevent or affect your ability to fully participate in daily program activities?*
PhoneIn-Person at CAC office in HartfordSkype
YesNo
References
Full Name*

First NameLast Name
Phone Number*

Area CodePhone Number
E-mail*
Relationship (previous or current employer, mentor, teacher, advisor, etc)*
How long has this person known you?*
Full Name*

First NameLast Name
Phone Number*

Area CodePhone Number
E-mail*
Relationship (previous or current employer, mentor, teacher, advisor, etc)*
How long has this person known you?*
The information contained in this application is correct and complete to the best of my knowledge. I authorize any references or other organizations listed in the application to give you and information they may have regarding my character and abilities to working with chilren and or youth. By checking this box, you are certifying that all information on this form is true and complete, and you have read and agree to the above statement.*

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Adventures in the City Freedom School- Servant Leader Intern Application

Work/Volunteer Experience

References