Maison Internship Application

Maison Internship Application

Please email a photo to missions@forhisgloryoutreach.org. Have your pastor AND a teacher/mentor complete the reference form also listed on the website.
Full Name (as printed on passport)

First Name Last Name
Preferred Name

First Name Last Name
Age
Gender

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number

Area Code Phone Number
E-mail
Marital Status
Church Information
Name of your Home Church
Church Denomination
Lenght of time at Home Church
Senior Pastor's Name
E-mail
Youth/Other Pastor's Name
E-mail
Church Phone Number

Area Code Phone Number
Church Website
Emergency Contact Information
Contact Full Name

First Name Last Name
Relation to You
Cell Phone Number

Area Code Phone Number
Phone Number

Area Code Phone Number
E-mail
Your Missionary Support

Each Maison Intern is required to raise his or her own support. There are currenlty no scholarships available. Please email missions@forhisgloryoutreach.org for more information on the cost of the trip.
Are you able to personally cover the cost of an internship?
If not, how do you plan to raise the necessary funds?
Prayer Support

It is essential that you have people who are covering you in prayer.
We suggest that you have a minimum of 5 Prrayer Warriors who have committed themselves to intercede and pray for you, for your ministry, and for the people of Haiti. Write the names of 5 people that will be praying for you during your internship.
Christian Life and Calling
Describe your conversion experience and your present relationship with the Lord.
Why do you want to serve as an Intern at Maison?
Experiences, Education and Talents
Describe your academic education:
List your talents, abilities, and gifts that can be useful in the ministry:
List your weaknesses and the areas in which you need to grow:
What ministries have you been involved in within your church community? Include lenght of time and specific duties:
Explain your relationship to your Church community:
Identify and describe any overseas travel and purpose. (vacation, schook, missions, etc...)
Identify and leadership roles that you have been assigned. (sports, academic, on mission trips, church, etc...)
What language do you speak? List the languages and describe your proficiency:
Past History and Personal Information

All information is kept completely confidential. We will not deny acceptance based solely on past histroy, but we need to be aware of potential struggles.
Have you ever had or do you currently have problems in any of the following areas?

Drugs Alcohol Pornography Sexual Sin Depression Eating Disorder Experiences with the occult Financial Debt Problems with authority Cheating in academic settings
Please describe the current condition of your heart concerning any checked areas from above.
Describe your reputation; how do you think others see you?
How do you respond when things don't work out as you had planned?
How do you usually respond to the correction of others in your areas of weakness or when you make a mistake?
How do you work in stressful situations? Identify two high stress situations tha you have experienced.
How do you respond in a situation of conflict between you and another person?
Personal Evaluation

Read each pair of phrases. Pick the one that is most descriptive of you.
Please choose one:
Please choose one:
Please choose one:
Please choose one:
Please choose one:
Please choose one:
Describe your comfort level in being assertive and giving directions, reprimands, and praises to peers:
Describe your comfort level in being assertive and giving directions, reprimands, and praises to people that are older than you:
Medical History
Please list any allergies, surgeries, or major diseases that you have had:
Please list current medications that you take on a regual basis:
By signing below, I affirm that the above information is true and accurate to the best of my knowledge.
Signature

Clear
Date

Month Day Year
Should be Empty:

Maison Internship Application

Church Information

Emergency Contact Information

Your Missionary Support

Prayer Support

Christian Life and Calling

Experiences, Education and Talents

Past History and Personal Information

Personal Evaluation

Medical History