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EDEN VALLEY INSTITUTE
INTERNSHIP APPLICATION
It is the policy of Eden Valley Institute to consider all applicants without regard to race, color, nationality or ethnicity.
Please make sure that all the required questions are answered or this form may fail to be processed.
I AM APPLYING FOR INTERNSHIP IN THE FOLLOWING DEPARTMENT:
*
Lifestyle
Lifestyle Kitchen
Lifestyle Fitness
*
Maintenance
Marketing
Media
*
Farm
Country Store
Other (write below)
OTHER
*
PERSONAL INFORMATION
*
Indicates required field
Name
*
First
Last
Address
*
Line 1
Line 2
City
State
Zip Code
Country
HEIGHT (ft/in)
*
WEIGHT (lbs)
*
SEX/GENDER
*
MALE
FEMALE
Upload Photo
*
Max file size: 20MB
Upload a photo of yourself.
Mobile Phone
*
WhatsApp Number
*
Enter a different number only if a different number exists for WhatsApp, or N/A if you don't use WhatsApp.
Email
*
Date of birth (dd/mm/yyyy)
*
CAN YOU LEGALLY WORK IN THE US?
*
YES
NO
MARITAL STATUS
*
SINGLE
MARRIED
SEPARATED
DIVORCED
WIDOWED
OCCUPATION
Are you currently employed?
*
YES
NO
IF YES, WHERE?
*
Write in the location of where you are currently employed if you checked the yes box. You can also explain if another answer exists.
DEPENDANTS
Number of Dependents
*
No Dependents
1
2
3
4
5+
Currently, housing is limited at Eden Valley, so this number is important.
Will dependents be accompanying you to eden valley?
*
YES
NO
Dependent Name
*
First
Last
Relationship to you
*
DOB (dd/mm/yyyy)
*
Enter Dependent's Date of Birth
Dependent Name
*
First
Last
Relationship to you
*
DOB (dd/mm/yyyy)
*
Enter Dependent's Date of Birth
Dependent Name
*
First
Last
Relationship to you
*
DOB (dd/mm/yyyy)
*
Enter Dependent's Date of Birth
Dependent Name
*
First
Last
Relationship to you
*
DOB (dd/mm/yyyy)
*
Enter Dependent's Date of Birth
CHURCH AFFILIATION
Are you a Seventh-day Adventist?
*
Yes
No
Other
If Other, Enter Denomination or Religion
*
Baptismal Date (dd/mm/yyyy)
*
How long have you been a Christian?
*
What church activities are you involved in?
*
Home Church
*
Pastor's Name
*
First
Last
Enter church pastor's name here.
Pastor's Phone
*
Church Address
*
Line 1
Line 2
City
State
Zip Code
Country
EDUCATION/TRAINING
Select all that apply
*
Medical Missionary Training Program (Provide info)
Health Professional (Provide Info)
Certified Massage Therapist (Upload Certificate)
College (Provide Info)
High School (Provide Info)
Trade School (Provide Info)
Other (Provide Info)
Select training, then provide more info as needed.
MMTP Training Facility
*
Enter the location or name of your training facility where you completed your Medical Missionary Training Program.
Date of Completion
*
Enter the date your Medical Missionary Training Program was completed.
Name of Program Director
*
Enter the MMTP Program Director at the time of your completion.
Upload Certificate
*
Max file size: 20MB
Upload your Medical Missionary Training Program Certification here.
Please indicate your field of training
*
If you are a Health Professional, please indicate your field of training or area of expertise.
Upload Massage Therapist Certification
*
Max file size: 20MB
Name of College
*
Year Completed College
*
Name of High School
*
Year Completed High School
*
Name of Trade School
*
Year Completed Trade School
*
EXPERIENCE
Please describe in several brief paragraphs your Christian experience, including your home background, your conversion and your personal growth in Christ.
*
Please describe in several brief paragraphs your Christian experience, including your home background, your conversion and your personal growth in Christ.
​What is your opinion of the principles of lifestyle and conduct outlined in our website or other materials?
*
What is your opinion of the principles of lifestyle and conduct outlined in our website or other materials?
What is the primary reason and in what capacity are you interested in serving at Eden Valley?
*
What is the primary reason and in what capacity are you interested in serving at Eden Valley?
If approved, when would you be able to start?
Date:
*
Please enter the earliest date you believe you will be able to start working here at Eden Valley Institute.
PLEASE NOTE: Submission of this form does not guarantee an internship, volunteer status, or a staff position. Please allow a minimum of 72 hours for processing and response before calling to follow-up. Thank you.
Submit
HOME
ABOUT US
Newsletter Subscription
DEPARTMENTS
LIFESTYLE
>
Success Stories
Lifestyle Program
Program Dates
Rates and Payment
Follow-Up Form
Lifestyle Application Form
EDUCATION
>
Medical Missionary / Evangelism
Agricultural Program
Student Reference Form
COUNTRY STORE
FARM
>
Eden Valley Farm
>
Eden Valley Farm Site
Farm Newsletter Sign-up
Farm Photos
MEDIA
>
Photo Gallery
Eden Valley Cookbook
Faith Ventures
EDEN VALLEY KIOSK
APPLY
Internship Application
Volunteer Application
>
Volunteer Opportunities
Medical Missionary Evangelism Training Program Application
Agricultural Student Application
Reference Form
DONATE
CONTACT