Intern/CAMPO Application Form
Personal Information
Full Name (as on passport)
*
Prefix
First Name
Last Name
Gender
*
Male
Female
Date of Birth
*
/
Month
/
Day
Year
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Primary Phone
*
-
Area Code
Phone Number
Email
*
example@example.com
Current Address (as on passport)
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Marital Status
*
T-Shirt Size
*
Upload a photo of yourself here.
*
Browse Files
Cancel
of
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
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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
FALL/WINTER
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
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
Relationship
*
Name of Second Contact
First Name
Middle Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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.
Name
Email
Phone
Relationship
1.
2.
3.
4.
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
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Digital Signature of Parent or Guardian (if under 18):
Submit
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