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Application
for Summer Internship
..................................................................
Please
fill out the application in full. Please remember to attach a copy
of your passport and two letters of recommendation from a preacher
or elder.
Download
PDF version
Send
the application to:
Mission Lazarus
Apartado Postal 79
Choluteca, Honduras
Central America
Fax
the application to:
504.782.0544
email the application to:
jarrodbrown@missionlazarus.org
allisonbrown@missionlazarus.org
info@missionlazarus.org
Name
_____________________________________Birthdate ____________
Passport Number (attach copy of passport)____________________________
Address _______________________________________________________
Email _________________________________________________________
Home Church ___________________________________________________
Parents' Names _________________________________________________
Parents' Address ________________________________________________
Parents' Phone Numbers (Home / Work) ______________________________
Parents' Email ___________________________________________________
Emergency Contact, different from parents ____________________________
Phone Number __________________________________________________
Existing Medical Conditions & Medications ____________________________
______________________________________________________________
______________________________________________________________
Profession/Major/Relevant Experience ________________________________
______________________________________________________________
______________________________________________________________
Level of Spanish _________________________________________________
______________________________________________________________
Expectations ___________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
** Please attach 2 letters of reference from preacher or elder
Summer Intern Application
Choluteca, Honduras C.A,
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