The following information is still needed:
I. General Information:
Last name:
First name:
Street address:
City:
State:
Zip Code:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
Washington D.C.
West Virginia
Wisconsin
Wyoming
Email:
Phone:
Mobile Phone:
Gender:
Male
Female
Date of birth:
Citizenship:
Have a passport?
Yes
No
II. Church Information:
Do you attend church regularly:
Yes
No
If no, why not:
If yes, what is your church's name:
Senior/Missions/Youth Pastor’s name:
Your Pastor’s email address:
We ask for your Pastor’s contact information so we can do a background check.
III. Personal Information:
List three abilities/strengths that you have.
List three weaknesses that you have.
Have you committed your life to Jesus Christ:
Yes
No
Have been on a short-term missions trip before:
Yes
No
If no, when do you plan on going to Nicaragua?
If yes, where and when did you go?
Describe your experience serving in the church.
Education: Schools attended and degrees earned
How do you know God has called you to serve in Nicaragua?
Why do you want to serve with One by One in Nicaragua?
What do you want to see happen during your time with One by One?
What are your long term goals/dreams? Do they involve missions?
CONFIDENTIAL
Have you ever had any problems in the following areas?
Occult
Drugs
Sexual Sin
Eating Disorder
Financial Debt
Stealing
Psychological Issues/Depression
Please rate yourself in the following areas:
1
2
3
4
5
Slow to start
Hard worker
Challenges authority
Submissive
Selfish
Selfless
Extroverted
Introverted
Firm and Consistent
Flexible
Private
Open
Emotional
Controlled
IV. Personal & Financial Requirements:
I understand that I must submit to the leadership of One by One.
I have read and am willing to commit to the
Lifestyle Covenant
.
I understand that any violation of One by One’s Lifestyle Covenant can result in immediate suspension or termination.
I understand that I will be responsible for raising the full amount of my salary while I work for One by One.
I understand that all monies I raise are the legal property of One by One, and therefore no amount can be refunded due to a cancellation of my internship/job.
By checking this, I affirm that the above information is true and accurate to the best my knowledge, and I affirm my acceptance of the One by One commitment.
