Agricultural Student 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 make sure that all the required questions are answered 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