Internship Application LeaderTreks Internship Application Please complete the following info on the form below. You may also download the PDF reference form and fax or mail it to LeaderTreks (fax number and ministry mailing address are on the printable form). Download the intern reference form If you have any questions, please contact LeaderTreks at (877) 502-0699 A LeaderTreks internship is an adventure that will give you the chance to influence the lives of students, minister in needy areas and help you grow in your own leadership.  This internship isn’t for everyone.  We use the application and interview process to ensure that we get the right people in our program and on our trips.  This is the first step of the process.  A complete application consists of this form, a picture of yourself and two complete reference forms.  Once we have your complete application we will contact you in order to set up interviews.             Today's Date: Your Name: Church Affiliation: School Address Street 1: Street 2: City: State/Province: Zip or Postal Code:   Permanent Address (ie Parent's House) Street 1: Street 2: City: State/Province: Zip or Postal Code:   Contact Info Cell Phone: Phone: Email: Length of Internship Desired Full Internship (9-10 weeks) Partial Internship (4-6 weeks) College Education School: No. Years Completed: Major: Questions Do you speak any additional languages? Have you ever been convicted of any offense other than minor traffic violations? (If Yes, explain) Are you a U.S. Citizen? Yes: No: If no, do you have a working visa? Yes: No: Are you prepared to raise funds for your internship? ? Yes: No: Why are you interested in serving at LeaderTreks? How have you grown in Christ? Please describe your spiritual life. What are three of your best characteristics? : What are three of your negative characteristics? : What would LeaderTreks gain from having you on staff? How are you a leader? Please describe your leadership. Describe the most challenging situation that you have ever faced as a leader. How did you deal with the challenge? What did you learn through it? At LT we have to be able to meet the physical demands of a worksite or a wilderness trip.  Which includes lifting 35-40 lbs, being able to work long days and eating a wide variety of foods?  Do you have any physical, mental or medical impairment or disability that would limit your performance? If so, please explain 10. Do you fully agree with the Core Values, and Statement of Faith and are you willing to support these through example and teaching? Yes No References Give the following information on your referents for the identified areas. Do not include relatives. Download the intern reference form Referent 1 (Work Performance): Name: Relation: Address: Phone: Referent 2 (Academic Performance): Name: Relation: Address: Phone: Referent 3 (Pastor or Spiritual Leader): Name: Relation: Address: Phone   I certify that everything in this application is correct and truthful.  I understand that past employers and referents may be contacted by LeaderTreks.  I also understand that LeaderTreks may do a criminal record check. Signature: Date: