VIDA Internacional Application Form

APPLICATION FORM

Thank you for your interest in VIDA Internacional. Before completing this application, please read the Ministry Manual thoroughly.

We encourage you to prayerfully consider if you are capable of fulfilling each one of the purposes and objectives of this organization in case you are accepted.

1. PERSONAL INFORMATION

Full name:*

Address:*

E-mail address:*

Home phone:

Work phone:

Cell phone:

Date of birth (DD-MM-YYYY):*

Nationality:*

Profession:*

Marital Status*

Gender*

Are you involved in a relationship?*

2. DEPENDENTS

Do you have any dependents?*

If so, please list full name, relationship, and date of birth for each dependent:

3. CHRISTIAN EXPERIENCE & CHURCH MEMBERSHIP

Are you a baptized member of the Seventh-day Adventist Church?*

If so, what is your baptismal date (MM-YYYY)?

Please describe your relationship with the Seventh-day Adventist Church. How do you feel you live in harmony with the message of the church, the 28 fundamental beliefs and the church's mission?*

Name of church you attend:*

Please extensively describe your conversion and your personal relationship with God:*

Are you ready to do your best regardless of what job you are assigned to do?*

Have you worked as a volunteer?*

Have you participated in outreach?*

If you answered Yes to any of the previous questions, please describe:

How were you introduced to VIDA Internacional?*

What is your purpose for serving with VIDA Internacional?*

What are your strengths?*

What are your weaknesses?*

What are your hobbies?*

4. LANGUAGES

How do you consider your Spanish?*

How do you consider your English?*

Which other languages do you speak?

5. FINANCES

How are you planning on covering your expenses?*

I agree with the financial arrangement as it is explained in the Ministry Manual:*

6. PERSONAL COMMITMENT

I have answered all questions correctly. If I am accepted, I promise to comply with the principles and standards of VIDA Internacional as have previously been described in the Ministry Manual.

I am willing to serve for:*

If you selected "student missionary" or "other", please explain:

I commit to VIDA Internacional to support the principles of this institution and serve God faithfully and diligently in whatever task I may be assigned.

Date:

Initials:

7. PHYSICAL CONDITION & EMERGENCY CONTACT

Emergency contact:*

Relationship:*

Telephone:*

Have you ever experienced any medical problems in the past or are you currently undergoing treatments for heart problems, heart surgery, cancer, etc.?*

Have you ever suffered from mental illness, panic attacks, personality disorders, whether emotional or food related?*

Have you ever been on drugs, whether in the form of alcohol or other mind-altering substances?*

Are you currently undergoing treatment for high blood pressure or diabetes?*

Do you have a condition that requires immediate access to medical services?*

Do you suffer from any conditions that would limit your physical activity?*

Are you currently taking prescription medications?*

Do you have any learning disability like dyslexia or Attention Deficit Disorder, etc.?*

Do you suffer from any allergies, whether food, environmental, seasonal, etc.?*

If you answered Yes to any of the previous questions, please describe:

In case of an emergency, you are authorizing VIDA Internacional to do everything necessary to receive the best medical treatment available and to authorize any medical procedures that may be necessary to sustain the life of the staff until under the care of your parents/guardians (if under the age of 21) or have the ability to make personal decisions.

Applicant initials:*

Parent initials (for applicant under 21):

Note: Each volunteer/staff member is responsible for their own medical insurance.

8. REFERENCES

The following people should know you well and be capable of communicating in English and/or Spanish in case VIDA Internacional needs to contact your references by telephone or e-mail. Please send a reference form to each of the people listed and have them return the form directly to us via mail or e-mail or click here for the link to the online reference form.

Friend | Telephone | E-mail:*

Pastor or Elder | Telephone | E-mail:*

Teacher or Boss | Telephone | E-mail:*

With my initials, I hereby accept that VIDA Internacional may request contact information of listed persons for references not listed.

Initials:

9. OTHER DOCUMENTS

Résumé (Curriculum Vitae):*

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Copy of passport or identity card:*

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