Internship Application

Name *
Name
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Passport

Your passport must have at least six months remaining validity from your return travel date and at least two blank visa pages. The last two amendment pages are not acceptable.
Status
All internship participants must have a valid passport to travel to internship sites.
Issue Date
Issue Date
Expiration Date
Expiration Date
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1st Emergency Contact

Name
Name
Phone
Phone
Address
Address

2nd Emergency Contact

Name
Name
Phone
Phone
Address
Address

Questionnaire

We minister to women and children who have experienced significant sexual trauma in their lives. We ask some very sensitive and personal questions to protect yourself and those we minister to, please answer honestly. Because of the nature of this ministry, interns walk into a spiritual battle and unknowingly may become vulnerable. If there are private weaknesses in one’s life, often these issues come to light in the midst of ministering. To address this, we recommend that if you are struggling, sexually or otherwise, please let us know. We also recommend that you seek counseling and help from trusted leaders.
e.g. food, intense heat, etc.

Medical

Your overall physical health will have a significant impact on your experience. If you have any reason to be concerned about your health, please carefully consider this internship as your health will greatly affect your ability to minister.
e.g. eating disorders, anxiety attacks, depression, bi-polar disorder
Are you currently or have you recently been under the care of a physician?
Have you ever been hospitalized or had a major surgery?
Are you currently taking any medications?
Are you on a special diet?
Do you use tobacco, alcohol, or controlled substances?
Do you have allergies (medications, food, seasonal, anything else)?
Do you have or have you ever had any of the following…
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The purpose of the Project Rescue internship is to provide a ministry learning experience. Any available sightseeing and/or shopping will be permitted only if it coincides with the team’s main purpose, but could be cancelled if not deemed convenient for travel, time or if it hinders the ministry. Internet and cell phone access may be limited or restricted in areas. Furthermore, Project Rescue site leaders set the standard for conduct, dress, and Christian lifestyle, and interns are expected to behave accordingly. Interns are expected to submit to Project Rescue and AGWM leadership and policies at all times. If at any time it is deemed necessary, an intern may be asked to return home and personally cover any added expense to do so. Interns serve at their own risk and Project Rescue under AGWM is not liable in the event of sickness, accident, death, and/or terrorist acts. The Project Rescue internship experience may include intense physical activity and uncomfortable environments (see Section 3). All participants must be in good physical and mental condition.
Name
Name
By signing this application, I affirm that all information provided is accurate to the best of my knowledge. My enclosed signature signifies that I have read, understood, and approve all limitations listed above.
Date
Date