Intern Application Step 1 of 9 11% Personal InformationName* First Middle Last Phone*Email* Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican 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 RicoQatarRéunionRomaniaRussiaRwandaSaint 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 IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Birthday* Date Format: MM slash DD slash YYYY Parent or Guardian's Name* First Middle Last Second Parent or Guardian's Name First Middle Last Save and Continue Later EducationSchool NameMajorSchool Address(Only fill out if your are living on campus.) Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Years of College CompletedPlease enter a number from 1 to 10.What are your career plans?*Are you involved in any ministries? If so, what are they?* Save and Continue Later ChurchWhere do you attend church?*Are you a member of this church?*YesNoIf you are a member of a church you do not attend, please enter it here.Your pastor’s or youth pastor's name.* First Last What church activities are you involved in?* Save and Continue Later Health InformationIf answering yes to any of the following questions, please explain. This internship will require frequent traveling on a bus, manual labor, loading and unloading concert and sound equipment, occasional work days of 10+ hours, etc. | Do you have any conditions which would prevent you from performing these tasks?*This position will require travel to Africa into rural parts where medical assistance, rest room facilities, and refrigeration may not be readily available. Do you require any medications or have any medical conditions that would interfere with this travel?*As an Intern while traveling in the States, your housing and most meals are completely dependent on the host families from each church. Do you currently have any allergies (including pet and food allergies)?* Save and Continue Later Work HistoryPlease provide details of your past work history, starting with the most recent, if any. EmployerSupervisor First Last Supervisor's PhoneYour ResponsibilitiesStart Date Date Format: MM slash DD slash YYYY End Date Date Format: MM slash DD slash YYYY Reason for DepartureEmployerSupervisor First Last Supervisor's PhoneYour ResponsibilitiesStart Date Date Format: MM slash DD slash YYYY End Date Date Format: MM slash DD slash YYYY Reason for DepartureEmployerSupervisor First Last Supervisor's PhoneYour ResponsibilitiesStart Date Date Format: MM slash DD slash YYYY End Date Date Format: MM slash DD slash YYYY Reason for Departure Save and Continue Later Criminal HistoryHave you ever been convicted of, indicted for, or pled guilty to a crime? If so, for what reason?* Save and Continue Later Application QuestionsUpload Your Photo*Attach a current picture of yourself. Upload Your Resume*Your Video Link*Please provide a 3-5 minute video. Explain why you should be selected as a Daraja Intern in your own fun or creative way Your Autobiography*Type a 1-2 page autobiography. Explain your testimony, your family situation, what your goals and aspirations are, where have you been and where you are going, how God has moved in your life, and anything else about your life that you feel is pertinent.Why are you interested in interning with the Daraja Children’s Choir?*What avenues of Christian growth are you in currently?*Why should Daraja Children’s Choir select you? Describe what you feel you have to offer the tour staff, i.e. what are your gifts, abilities, talents, etc*Select 3 responsibilities on tour you wish to have.*Experience is not necessary, as we provide train- ing for all areas of responsibility. Setting up and Managing the Merchandise Table Set up: Sound System Concert Audio: Running the sound system/ipod and mic levels during a concert Concert Visuals: setting up and running our lyrics and videos Child Sponsorship: setting up the display and talking to people about our child sponsorship opportunities. Also requires administrative role of man- aging paperwork and reporting back to our sponsor program Administration: working with tour leader to enter donor information, run errands, track receipts, etc Teacher: assisting an African adult to teach a class of 5-6 students in primary level subjects Green Room: organizing, repairing, ironing, and cleaning all costumes and dress shoes Photography/Videography: taking a visual record of our trip and concerts Social Media:daily updating our Facebook and twitter/Weekly updating our blog Explain the reasons why you would like to have these responsibilities on tour* Save and Continue Later ReferencesPlease have 3 people that you would like as references. Please no family members or peers. Reference Name - #1* First Last Reference Email - #1* Reference Phone - #1*Relationship to reference #1, and how long have you known them.*Reference Name - #2* First Last Reference Email - #2* Reference Phone - #2*Relationship to reference #2, and how long have you known them.*Reference Name - #3* First Last Reference Email - #3* Reference Phone - #3*Relationship to reference #3, and how long have you known them.* Save and Continue Later Successful Applicant Requirement & AgreementBy submitting this application, I agree that if accepted to the Daraja Children’s choir Internship I have the ability to complete or have met all of the above requirements. • A personal commitment to Jesus Christ as Savior and an active involvement in a local church. • A desire to be a team member in a ministry dedicated to communicating the refreshing spirit of Christ, the truth of His word, and the difference living for Him can make in our lives. • A servant’s heart reflected in a willing attitude. • Must have graduated high school by Spring 2018 • Must be willing to raise support to cover expenses. Doing this creates a support team of prayer for you for the summer and allows God to provide for the work He has called you to do. • Must have the ability to do manual labor. Interns will load and unload the bus, lift heavy boxes, sound equipment, merchandising displays, etc. Interns will be traveling to Africa at the end of tour. Therefore all interns will be required to have a current Passport and potential immunizations required for travel to Africa. Remember, you can ask your sponsors to help with these costs.Code of ConductThe Daraja Children’s Choir of Africa (The 410 Bridge) does not allow any of its employees to be involved with smoking, drinking alcoholic beverages, or using illegal drugs. Also, theft, damaging of property, physical injury to others, deception and other forms of socially unacceptable behavior will be causes for immediate dismissal. I understand that this application form is intended for use in evaluating my qualifications for employment. This is not an employment contract. I have answered all questions completely and accurately. I understand that any false statements, misrepresentations or omissions made during the interview and on this form are grounds for terminating the application process or, if discovered after employment, terminating employment. I understand that, if I am offered a position, it will be offered on condition that my employment shall be at will and for no definite period pursuant to The 410 Bridge’s Code of Conduct. I understand and agree that upon breaking this Code of Conduct, that my employment may be terminated by The 410 Bridge at any time, with or without cause, and with or without notice, at the option of The 410 Bridge. I authorize The 410 Bridge and/or its agents to verify any of this information. I authorize all former employers, persons, schools, companies and law enforcement authorities to release any information concerning my background and hereby release any said persons, schools, companies and law enforcement authorities from any liability for any damages whatsoever for issuing this information. Should this application be accepted, I agree to be bound by the policies and procedures of The Daraja Children’s Choir of Africa (The 410 Bridge), and to refrain from unscriptural conduct, as determined by The 410 Bridge in its sole discretion, in the performance of my services on behalf of this company. Save and Continue Later This iframe contains the logic required to handle Ajax powered Gravity Forms.