Internship/Job Application Job/Internship Application I'm applying for an...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 FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin 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) FamilyMarital Status Single Engaged Married Widowed Divorced Separated Remarried Full Name of Spouse Date of Marriage If applicable, list the name, gender, and birthdate for each of your children:Describe your parents' relationship: Married Separated Divorced Never Married Widowed 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:Christian Life & ChurchAre you a Christian? Yes No How long have you been a Christian? How did you become a Christian, and what do Christ and the Christian faith mean to you? Please share significant factors in your journey as a Christian, how you relate your faith to everyday experiences, and your call to service:Church Membership Congregation Denomination Conference Which church do you currently attend if different from above? Briefly describe your relationship with your home church: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.Summarize any responsibilities or experiences you've had in church, school, and/or community related assignments, including youth and children’s work, drama, music, volunteer work, etc.What languages do you speak, read, and/or write? Indicate proficiency as limited, intermediate, or fluent.What are your long-term career interests?Select areas in which you've had experience and/or training (check all that apply): Accounting Administration Computer/Data Processing Construction Skills Cooking Counseling Creative/News Writing Customer Service Evangelism Graphic Design Group Leadership Healthcare / First Aid Mentoring Money Management Music Photography Physical Fitness Preaching Public Speaking Teaching Comment on any area in which you have had sufficient training or experience to enable you to assume major responsibility:How do you typically spend your leisure time (interests, hobbies, recreation, etc.)?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.
