CrossCulture Jesus

Full Name:
Date of Birth :	( month/day/year) .invalid.
E-mail:	.invalid.
Phone number:
Are you a Christian?	if yes, date of salvation:
Are you baptized in water?	if yes, date of baptism :
Home church:
How long have you attended?
Name of Pastor:
Please give your pastor’s e-mail address or contact information so that we can request a pastoral recommendation .
How did you come to know Jesus as your savior?
How have you served in your local church?
Do you smoke?
Do you drink alcohol?
Do you use curse words?
Why are you interested in serving with CrossCulture Jesus?
What languages can you speak and how well can you speak them?
Are you currently working? where?
Are you currently studying? what is your focus?
Please list any physical limitations or allergies that you have
Please list any medicine you are currently taking.
Your physician’s name:
Your physicians phone # Your blood type:
Who should we contact in case of emergency?
Name: relation:
Phone number:
Are you applying for a 2month or 3 month internship?
We suggest that you join our internship program during the summer months; however we can occasionally make special arrangements if that time frame does not work well for you. What are your suggested dates of travel? (Application and Pastoral Recommendation must be received at least 30 days prior to your anticipated date of arrival.) (Please do not make any plans until you hear from us confirming the receipt of all necessary documentation and approval of the same.)
I understand that my participation in the CrossCulture Jeus internship is completely voluntary with no remuneration of any type. I will be responsible for my personal expenses at all times. I understand that my volunteer service in this ministry is solely to promote the vision of CCJ and not to promote my own agenda. I will participate in the programs that CCJ sponsors and submit to the appropriate authority at all times. I understand that during my term I am a representative not only of CCJ but also of Jesus Christ and I commit to abstain from smoking, alcohol, coarse language (cursing, harsh words, dirty jokes, etc.), and non-Christian music at all times. In an attempt to maintain a pure testimony, I will not participate in gossip, backbiting, jealous envies, or engage in a romantic relationship during my service. I will commit to regularly attending a local church to keep myself spiritually fed.
I understand that if I do not comply with the rules and regulations of CrossCulture Jesus or if I act in a way that is unseemly for a follower of Christ I run the risk of being sent home at my own expense.
I understand that my service with CrossCulture Jesus is completely voluntarily and at my own risk. I will not hold CrossCulture Jesus responsible for any harm to my person or belongings that could occur during my service. Should I need medical or legal aid during my service I am willing to cover these costs at my own expense.
You must accept the terms. I agree to the terms and conditions