Agricultural Internship Application

AGRICULTURAL LEADERSHIP TRAINING PROGRAM
INTERNSHIP QUESTIONNAIRE

For International Students: Check with your local US consulate to check appointment availability before proceeding with the application.

Please provide a detailed response in all required fields or this form may fail to be processed.

* Indicates required field

I am applying for: *

Program Date *

Personal Info

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Birthplace *

Citizenship *

Marriage Status *

Applicant Photo *

Max file size: 20MB

Phone Number *

Email *

Age *

Birthdate *

Weight *

Height *

Gender *

Starting Date *

Emergency Contact

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Relationship *

Phone Number *

Email *

Religious Info

Church Affiliation *

Home Church *

How long have you been a member? *

Christian Experience

Describe your Christian experience, including your home background, conversion experience, and your growth in Christ. *

Spirit of Prophecy

Are you familiar with the messenger of prophecy to the Seventh-Day Adventist Church? *

How do you regard her writings? *

Health

Do you have an illness or disease that would prevent you from taking on a full farm workload? *

If yes, then please explain: *

DO YOU HAVE ANY PHYSICAL LIMITATIONS THAT WOULD LIMIT A HEAVY PHYSICAL LABOR? *

IF YES, PLEASE EXPLAIN: *

Training Interest

Why do you want to enroll in this program and what do you expect to learn? *

What are some of your long-term goals? *

How do you expect to use the knowledge acquired in the program? *

General questions

How did you hear about this program? *

What are your experiences/thoughts regarding self-support ministries? *

In your opinion, what role does agriculture play in missions? *

Education

School

High School *

College *

Other *

Course of Study

Course of Study *

Did you graduate?

Select One *

Dates Attended

from *

to *

Employment

Employer

Employer #1 *

Employer #2 *

Employer #3 *

Employer #4 *

Type of work

Type of work *

Dates employed

From *

To *

Reasons for leaving

Reason for leaving *

Experience, Skills & Trades

Language Skills

Do you have any previous experience in agriculture? *

How well do you read, write, and understand English? *

What languages do you speak fluently? *

References

Pastor

Name *

First

Last

Email *

Phone Number *

Employer

Name *

First

Last

Email *

Phone Number *

Friend

Name *

First

Last

Email *

Phone Number *

Submit

AGRICULTURAL LEADERSHIP TRAINING PROGRAM​INTERNSHIP QUESTIONNAIRE

Personal Info

Emergency Contact

Religious Info

Christian Experience

Spirit of Prophecy

Health

Training Interest

General questions

Education

Employment

Experience, Skills & Trades

Language Skills

References

AGRICULTURAL LEADERSHIP TRAINING PROGRAM
INTERNSHIP QUESTIONNAIRE