Institute Scholarship Application Name* First Last Your Email Address* Social Security Number If not a USA citizen, please give your nationality, visa classification and number Employment (Optional: attach a resume)Upload a resume (optional)Max. file size: 4 MB.Please list the most recent employer first. Do we have your permission to contact them? Yes No Company Name Please list the company you were most recently employed at firstFrom Date MM slash DD slash YYYY To Date MM slash DD slash YYYY Position Supervisor PhoneReason for leaving Second CompanyCompany Name From Date MM slash DD slash YYYY To Date MM slash DD slash YYYY Position Supervisor PhoneReason for leaving What special work skills do you possess*Tentatively, what is your vocational choice* References EmployerEmployer's Name Length of Acquaintance PhoneCompany Name Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country List your duties and experienceCo-workerCo-Worker's Name Length of Acquaintance PhoneAddress Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country SkillsAccounting/Finance* Some experience Skills you like to do Very proficient Skills you dislike Skills you want to learn Advertising* Some experience Skills you like to do Very proficient Skills you dislike Skills you want to learn Administration* Some experience Skills you like to do Very proficient Skills you dislike Skills you want to learn Audio Production* Some experience Skills you like to do Very proficient Skills you dislike Skills you want to learn Carpenter/Construction* Some experience Skills you like to do Very proficient Skills you dislike Skills you want to learn Computer Programing* Some experience Skills you like to do Very proficient Skills you dislike Skills you want to learn Cooking* Some experience Skills you like to do Very proficient Skills you dislike Skills you want to learn Data Entry* Some experience Skills you like to do Very proficient Skills you dislike Skills you want to learn Data Processing* Some experience Skills you like to do Very proficient Skills you dislike Skills you want to learn Drama Production* Some experience Skills you like to do Very proficient Skills you dislike Skills you want to learn Event Consultant* Some experience Skills you like to do Very proficient Skills you dislike Skills you want to learn Graphic Arts* Some experience Skills you like to do Very proficient Skills you dislike Skills you want to learn Journalism* Some experience Skills you like to do Very proficient Skills you dislike Skills you want to learn LifeGuard* Some experience Skills you like to do Very proficient Skills you dislike Skills you want to learn Merchandising* Some experience Skills you like to do Very proficient Skills you dislike Skills you want to learn Personnel Administration* Some experience Skills you like to do Very proficient Skills you dislike Skills you want to learn Photography* Some experience Skills you like to do Very proficient Skills you dislike Skills you want to learn Postal Service* Some experience Skills you like to do Very proficient Skills you dislike Skills you want to learn Project Organization* Some experience Skills you like to do Very proficient Skills you dislike Skills you want to learn Receptionist* Some experience Skills you like to do Very proficient Skills you dislike Skills you want to learn Sales* Some experience Skills you like to do Very proficient Skills you dislike Skills you want to learn Secretarial* Some experience Skills you like to do Very proficient Skills you dislike Skills you want to learn Shorthand* Some experience Skills you like to do Very proficient Skills you dislike Skills you want to learn If you are skilled at shorthand, what is your wpm? Sound Board Operation* Some experience Skills you like to do Very proficient Skills you dislike Skills you want to learn Speaking* Some experience Skills you like to do Very proficient Skills you dislike Skills you want to learn Telemarketing* Some experience Skills you like to do Very proficient Skills you dislike Skills you want to learn Travel Service* Some experience Skills you like to do Very proficient Skills you dislike Skills you want to learn Writing* Some experience Skills you like to do Very proficient Skills you dislike Skills you want to learn If you are skilled at writing, what type of writing? Indoor Program Interests Technical Using a scale from 1-5 rate your skill level in each particular area, one is having no experience and five being very skilledSound Tech* 1 - No experience 2 3 4 5 - Very Skilled Lighting Tech* 1 - No experience 2 3 4 5 - Very Skilled Video/Media Using a scale from 1-5 rate your skill level in each particular area, one is having no experience and five being very skilledPowerPoint/computer* 1 - No experience 2 3 4 5 - Very Skilled Video Editing* 1 - No experience 2 3 4 5 - Very Skilled Photographer* 1 - No experience 2 3 4 5 - Very Skilled Drama Using a scale from 1-5 rate your skill level in each particular area, one is having no experience and five being very skilledDrama/Acting* 1 - No experience 2 3 4 5 - Very Skilled Script Writing* 1 - No experience 2 3 4 5 - Very Skilled Stage Directing* 1 - No experience 2 3 4 5 - Very Skilled Set Design* 1 - No experience 2 3 4 5 - Very Skilled Music Using a scale from 1-5 rate your skill level in each particular area, one is having no experience and five being very skilledWorship leader* 1 - No experience 2 3 4 5 - Very Skilled Vocal Harmony* 1 - No experience 2 3 4 5 - Very Skilled Vocal soloist* 1 - No experience 2 3 4 5 - Very Skilled Instrument* 1 - No experience 2 3 4 5 - Very Skilled If you play a musical instrument, please tell us which one(s) Speaking / TeachingHave you ever spoken before a group* Yes No Did you enjoy it* Yes No Would you like to teach a one-hour seminar at camp?* Yes No Do you have a topic(s) that you would really enjoy teaching teenagers? What? ExplainRegistrationDo you like organization?* Yes No Have you ever done data entry?* Yes No Are you a people person?* Yes No Do you work well under pressure?* Yes No ProductHave you ever done retail sales before?* Yes No Would you make a good salesperson?* Yes No MissionsDo you feel like the Lord has given you a heart for missions? Why?*How are you with talking to people on the phone? Can you communicate well with people?*How are you with working with computers? Data Entry? Updating the website?*Student ServicesWhen Is the last time you helped plan a creative activity for youth? Explain:*Do you have any experience in leading sports or recreation events?*Outdoor Program Interests Team RecreationDo you have experience with group-building activities?* Yes No If yes, describeSportsWhat athletic or other recreational interests do you have?*Survival / First AidSwimming/Lifeguard: Are you certified?* Yes No First Aid Training* Yes No If yes, describeWater skills: Describe (canoeing, ski, etc.):Other outdoor activities (hiking, rappelling, etc.)PhoneThis field is for validation purposes and should be left unchanged.
