AT3 Internship Programme Application (US) Thank you for your interest in our Internship. AT3 Summer Internship Application Form (US Edition) Only fill out this form if you are applying from the United States 1. Fill in the application fields in each section and then submit the form 2. AT3 will be in touch with next steps. Step 1 of 14 7% Section A - Personal DetailsFull Name (as shown on passport) Mr.Mrs.MissMs.Dr.Prof.Rev. Prefix First Middle Last Date of Birth*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Email* Skype Name*Phone*Home Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country University Address (if different) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country How did you hear about AT3?* Section B - Passport DetailsIf you are successful in your application for the internship, you will be required to apply for a visa. Providing this information allows us to begin that process. If you are not successful, this information will be deleted immediately. Do you have a passport?*YesNoPlace of birth*Passport NumberIssue DateExpiry DatePlace of issueNationality*Airline Seat Preference*WindowAisleNo Preference Section C - HealthIs your health normally good?*YesNoIf no, please explain. Do you take any medications?* Do you have any allergies?* Do you have any dietary requirements? Section D – Education and Work ExperienceList colleges / universities attended, giving years of attendance and qualifications obtained with grades / class* Please give details of your current employment / study* Please give details, with dates, in chronological order of current and previous work experience Do you have any skills that may be an asset on this trip?* Do you speak any foreign languages? If so, to what extent?* Section E – This PositionWhat would your dream summer look like?* Why have you applied for the AT3 internship?* What excites you about the UK?* Do you have any specific requirements from your College that you need to fulfil during an internship? (i.e. internship for credit) If so, provide more information* Which intern track is your FIRST preference? (We apologise that we cannot always guarantee that you will get your top choices.)*Biblical Counseling / Pastoral CareEvangelismPreaching / TeachingWorshipWhich intern track is your SECOND preference? (We apologise that we cannot always guarantee that you will get your top choices.)*Biblical Counseling / Pastoral CareEvangelismPreaching / TeachingWorshipWhich intern track is your THIRD preference?*Biblical Counseling / Pastoral CareEvangelismPreaching / TeachingWorshipNo third preferenceIf 'you have selected Worship in any of your preferences, please select what you have experience with in a worship setting. Vocal Instrument Tech Other I have no musical ability. Have you done any fundraising for prior mission trips?* If so, what was the experience like? Section F – Christian ExperiencePlease give the name of your home church and any church you attend during the school year/term time*What is the average size of your home church?State briefly how and when you became a Christian* Who or what have been the main influences on your Christian life? How have they had this influence?* What involvement have you had in your church, University Campus Ministry (i.e. Cru, IV, Campus Outreach, etc) or other Christian organisation?* Section G – Understanding of the Christian FaithDo you agree with the AT3 statement of faith?*YesNoYou can view our statement of faith here: https://drive.google.com/file/d/0B7ACwC42U_T_R2J5UllVSGZScXIyZEE3SGxuTzRWQ1VqaDk4/view?usp=sharingHow would you present the gospel to someone who has never heard it in one minute?* What are you encouraged by in your Christian life at the moment?* How has God been challenging you in your Christian life at the moment?* How would you define discipleship?* Have you experienced personal discipleship, both as the discipler and the disciplee?* Section H - PersonalityWhat do you like to do with your free time?* What do you in do in your personal life that others might find annoying?* What kind of people annoy you the most and how do you deal with them?* What is the hardest you've ever worked on something in your life?* How do you describe a proactive person? Would you consider yourself a proactive person. Explain.* The UK shares a common language with the US, yet the cultures are different. Being able to lower expectations and have flexibility are strong keys to success in AT3. Would your peers describe you as a flexible person? Why or why not?* Section I - Host Home PlacementHosts graciously welcome interns into their homes and family. This means an AT3 intern should expect to: 1. communicate with their hosts well 2. do their own grocery shopping or contribute towards household food and supplies 3. prepare and eat some meals together with hosts 4. help clean around the house, especially shared areas 5. do their own laundry 6. leave their bedrooms as they found them. If any issues arise, an AT3 staff member will be available to help if you are unable to resolve them. Have you ever lived away from home before?* Yes No If so, please explain the context. Do you have any concerns about living in someone else's house for an extended period of time?* What are your expectations of your hosts if you were to live in their house for an extended period of time?* Do you need to relax on your own, or with other people?* Section J - Communication and LogisticsThis section helps us to understand how you communicate. We are not looking for perfect answers, but honest ones. What is your computer ability? Email (Send, receive, group emails, attachments) Chat and Conferencing (Skype, Oovoo, Google hangouts) Dropbox (create account, share folder, upload files) Applications (Install, know about system requirements) Word Document (Write letters, track changes) Powerpoint (create slide shows) Mail Merge Check all that applyIn general, how often do you check your email?* As soon as I receive an email Daily 2-3 times a week Once a week Rarely When someone emails you, what is the appropriate amount of time you need to respond by?* As soon as I receive an email Within a day Within a few days Within a week Rarely get back to people Do you have or are willing to get any of the following money transferring apps?* Paypal (most preferred) Zelle Transferwise Will you be in your home country six weeks prior to arrival in the UK?*YesNoYou will need to remain in your home country when you apply for your UK visa, because you need to physically send your passport to the British Consulate during processing. If this is an issue, please let AT3 staff know. Section K – Emergency ContactsPlease give the names of two people who are will be your emergency contacts should you be accepted onto the programme. If you are not successful, this information will be deleted immediately. Emergency Contact 1: Name Mr.Mrs.MissMs.Dr.Prof.Rev. Prefix First Middle Last Contact NumberEmail addressRelationship to youEmergency Contact 2: Name Mr.Mrs.MissMs.Dr.Prof.Rev. Prefix First Middle Last Contact NumberEmail addressRelationship to you Section L – ReferencesPlease list two people (of no relation) who know you well and can give a reference to your character, maturity, responsibility etc. One reference must be a leader in a ministry you serve. The second reference must be someone who can speak to your character. Reference 1: Name (Ministry Leader)What is your relationship with this person?How long have you known this person?Telephone (1st Reference)Email (1st Reference) Reference 2: Name (Someone who would speak to your character)What is your relationship with this person?How long have you known this person?Telephone (2nd Reference)Email (2nd Reference) Section M - Interview availabilityOnce we have received your application form, we will review it and be in touch with the next steps. If we decide to go forward with an interview, we try to schedule these as soon as possible. An interview will take place via Skype and last 45 mins -1 hour.Please indicate any regular times during the week (Mornings and Afternoons) which you would be available for an interview. (Please note that the UK is usually 8 hour ahead of the West Coast US.)* Final Declaration and Submit ApplicationDeclaration* I declare that the information contained in this application form is correct to the best of my knowledge. I give permission for this form and any references to be copied to those involved in the interviewing and selection process. I give permission for this form to be shared with potential church placements should I be accepted onto the Summer Internship. I understand that if I am accepted onto the Summer Internship I will be required to pay a non-refundable $100 deposit to secure my place on the program I understand that I need to have a valid passport by February 12, 2021, in order to travel to the UK (not having a valid passport by this date may impede my ability to go to the UK). A new US passport costs a minimum of $145, https://travel.state.gov/content/travel/en/passports.html/