I'm applying for...9 Month Internship PositionSummer Internship PositionStaff PositionFor which position are you applying? PersonalName First Last Gender Male Female Email Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country PhoneDate of Birth MM slash DD slash YYYY Aim Right ScholarshipsI have... completed the Aim Right Summer Internship program ($500) participated in a youth trip to Aim Right ($200) been part of the PHX Reach Team ($500) been an Aim Right Student Leader ($500) List the names, addresses, cell numbers, and email addresses for your parent(s) or guardian(s):Emergency Contact #1Name First Last Email PhoneRelationship Emergency Contact #2Name First Last Email PhoneRelationship HealthGeneral Health Excellent Good Fair Poor List any allergies you have:If you have any physical weakness or disability to be considered in assignment, please explain:If you have been under a physician’s care or received specialized treatment (surgery, psychiatric care, physical therapy, etc.) within the past five years, please explain:Spiritual LifeWhat do Christ and the Christian faith mean to you?Which church do you currently attend? Education & ExperienceHigh School Attended Graduation Year Please list any additional schools/colleges you've attended, including school name, degree, and graduation yearPlease list any additional training, certificates, awards, honors, etc:Please list below all positions in which you've worked (including employer, address, position, duties, and start/end dates for each). You may skip this section and send in your resume instead if applicable.What languages do you speak, read, and/or write? Indicate proficiency as limited, intermediate, or fluent.Identify times you have lived on your own or lived/worked with people of a culture or ethnic background different from your own:PlacementHow did you learn about Aim Right?Briefly state why you would like to be a part of Aim Right:Is your family (parents, spouse and/or children, if applicable) supportive of your plans? Yes No When would you be available to begin? MM slash DD slash YYYY Personal ReferencesApplicants are required to provide the names and email addresses for four references (including at least one pastor or youth pastor) as part of their application. References may not be related to the applicant, nor may any two references be related to each other. Reference requests will be sent via email from Aim Right. *Please note: It is the responsibility of the applicant to follow up with those giving references to ensure that they return their reference in a timely fashion. The application will not move into the interview phase until all references have been received.
