Amani Intern Application

Applicant's Name *
Applicant's Name
Applicant's Address *
Applicant's Address
Phone *
Phone
Sex *
Birthdate
Birthdate
Civil Status *
Spouse Name *
Spouse Name
Are you a church member? *
Name of church staff member that knows you best: *
Name of church staff member that knows you best:
Church Staff Phone Member's Number *
Church Staff Phone Member's Number
Character Reference *
Character Reference
Character Reference Phone Number *
Character Reference Phone Number
Are there any handicaps, allergies, or chronic diseases that could cause you difficulty? *
Person we may contact in case of emergency: *
Person we may contact in case of emergency:
Address *
Address
Emergency Contact Phone Number: *
Emergency Contact Phone Number:
Work Areas of Interest: Please check 3 work areas of preference for you: *
If you are approved as a volunteer we will place you on a shift schedule based on your skills and strengths. Below is a list of areas from which to choose. We will try to honor your request, when possible, but there is no guarantee your choices will be available. You will be notified of your shift placement when you arrive at Amani.
What length of internship are you interested in? *
As a portion of the basis of approval, the applicant must list all types of social media in which you participate. Applicant must also grant the Volunteer Coordinator access into
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Please email a copy of your passport page to Amanibabycottage@gmail.com when you receive it.