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Short-Term (Under One Year)
To which Niños de la Luz location are you applying?
The Dominican Republic
When would you be available to begin an Internship and how long would you be available to serve?
Birth Date (D/M/Y) and Birth Place:
Social Security #:
Marital Status (If divorced or remarried, please explain):
Marriage Date and Spouse's Name:
# of Children:
If a minor, please include parent's names and addresses:
Your present health:
Any physical disablility that could hinder your ministry?
Person to contact in case of emergency:
Emergency Contact Phone #
Emergency Contact E-mail
Your profession or occupation:
The profession or occupation of your spouse:
Please list the last five jobs you have held, including name of workplace, your position, dates, and reason for leaving:
Please any volunteer experience you have had, including name of organization or group, your position, and dates volunteered:
Level of education completed, including date completed
Name of school or college you attended:
Please list any technical or professional training you have had:
Describe any formal or informal Bible training; Please include where attended:
Where do you attend church? Please include name and denomination:
Name, address, phone # and E-mail of your pastor:
How long have you been a Christian?
In what ways have you been or are you presently involved in your church?
How did you come to hear about Niños de la Luz?
Do you have any experience working with street kids and/or with troubled kids? If so, where and for how long were you involved in this work?
What has been your involvement in working with kids in general, and with what ages have you worked?
Please list what you see to be your talents and strengths:
What do you feel are your greatest weaknesses?
In what ways could you see yourself involved in this ministry?
Have you had any former cross-cultural experiences, either in your own country or abroad? If so, please describe these experiences:
Do you feel God is leading you into missionary service?
Please read our Statement of Faith on the "Our Mission" Page. Do you agree wholeheartedly with our doctrinal position? If no, please explain:
Please rate your knowledge of the Spanish language: I can read, write, speak:
Speak basic Spanish
Please share your Christian testimony: