Intern/CAMPO Application Form

Current Address: *

Marital Status: *
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Travel Information
Do you have a current Passport? *

Yes No
Name on Passport: *

First Name Middle Name Last Name
Passport Number: *
Issuing Country: *
Date of Expiration: *

/ Month / Day Year
Internship Opportunity Information
Which Internship opportunity are you interested in? *
*Country and Missionary. If you are looking to be placed based on need, please answer "anywhere" for this section.
What length of internship are you interested in? *

1 - 3 month internship 6 - 18 month internship Long-Term Service
If you are interested in the CAMPO Cross Cultural Program which session would you like to attend?

SUMMER: May 27, 2019 - June 21, 2019 FALL/WINTER: Oct 28, 2019 – Nov 22, 2019
If you are looking to be placed into an internship based on need or your skills, is there a time of year that works best for you?
Emergency Contacts
Name of First Contact: *

First Name Middle Name Last Name

Address:

Address:

Phone Number:

- Area Code Phone Number
Relationship:
Medical Information
Health Concerns:
Dietary Restrictions:
Allergies:
Medications we need to know about:
Other Considerations:
Tell us about Yourself
Do you have a Home Church? *

Yes No
Name of Church: *
How long have you been a Christian? *
What does Salvation mean to you? *
Briefly describe your relationship with Christ. *
How did you hear about Missionary Ventures?
Fundraising
How do you plan on funding your Internship? *
Do you feel confident in your ability to raise the necessary funds to support yourself through this experience? *
Would you like MVI to provide fundraising training and resources? *
References

Please provide at least three references, one should include your current pastor.

Accuracy Statement
*

I certify that all statements given on this application are correct with no omissions.
Applicant Digital Signature (Printed Name): *
Current Date:

/ Month / Day Year
Digital Signature of Parent or Guardian (if under 18):
Should be Empty:

Personal Information