Internship Application – Oak Life

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Oak Life Internship

Application

1Basic Info

2More Info

3Emergency Contact

4Spiritual Life

5Character

6Health

7References

First Name*
Last Name*
Email*
Phone*
Address*
Street Address City State / Province / Region ZIP / Postal Code Country
I am*
Marital Status*
Date of Birth*
MM slash DD slash YYYY

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Photo of You*
Max. file size: 256 MB.
Highest Level of Education Completed*
- Highschool/GED
- Some College
- Vocational Training
- Associate's Degree
- Bachellor's Degree
- Master's Degree
- Doctorate Degree
Do you have a valid passport?*
- Yes
- No
Have you ever been convicted of a crime/felony?*
- Yes
- No
If so, please explain
Would you be willing to submit to a criminal background check?*
- Yes
- No

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Emergency Contact
First Last
Email*
Phone*
Relationship to you

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How did your relationship with Jesus begin?*
What is your relationship with Jesus like today?*
What is an area of your character that you are currently working on?*
How do you hope to learn or grow during your internship?*

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Ability to follow*
- Very poor
- Poor
- Average
- Good
- Very Good
Ability to lead*
- Very poor
- Poor
- Average
- Good
- Very Good
Organization*
- Very poor
- Poor
- Average
- Good
- Very Good
Decision-Making*
- Very poor
- Poor
- Average
- Good
- Very Good
Health*
- Very poor
- Poor
- Average
- Good
- Very Good
Emotional Maturity*
- Very poor
- Poor
- Average
- Good
- Very Good
Flexibility*
- Very poor
- Poor
- Average
- Good
- Very Good
Work Ethic*
- Very poor
- Poor
- Average
- Good
- Very Good
Study Habits*
- Very poor
- Poor
- Average
- Good
- Very Good

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Height
Weight
Do you have any physical or health conditions that require special attention?*
- Yes
- No
If so, please explain*
Do you have any allergies to food or medicine?*
- Yes
- No
If so, please explain*
Are you currently taking any medications?*
- Yes
- No
If so, please explain*
Have you ever been diagnosed with any form of mental illness?*
- Yes
- No
If so, please explain*
Have you been addicted to drugs or alcohol in the past three years?*
- Yes
- No
If so, please explain*
Do you have health insurance?*
- Yes
- No
If not, please explain*

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Reference #1*
- Family Member
- Pastor
- Teacher/Mentor
References will be contacted to give a character evaluation.
Name*
First Last
Email*
Phone
Reference #2*
- Family Member
- Pastor
- Teacher/Mentor
References will be contacted to give a character evaluation.
Name*
First Last
Email*
Phone

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