Short-term enquiry form

About you

First name

Last name

Date of birth

Phone

Home address

Term-time address

(if different to home)

Your Church

Church Name

Church town/city

Church Website

Pastor's name

Pastor's email

Your Faith

When and how did you become a Christian?

How do you seek to grow in your knowledge and love of Christ?

What ministries are you involved in?

Please include involvement with your local church, CU, and any other voluntary work

Your study & work

Academic institution(s) and qualifications

Please detail your school/university and give a brief outline of your academic qualifications

Work experience

Company name(s) and a brief outline of your responsibilities for each employer

What langauges do you speak?

Please indicate your fluency in each

What are your strengths?

What are your weaknesses?

Your placement

Placement type

Going with a friend?

If you want to go with someone else, please provide their name and their relationship to you

When would you prefer to start?

When would you prefer to end?

Preferred country

Don't mind? Enter 'none'

Why do you want to go with Crosslinks?

Why do you want to go on this specific placement?

How did you hear about Crosslinks?

References

Name of first referee

(must be a pastor or church leader, and not related to you)

How do you know them?

First referee's mobile

First referee's email

Name of second referee

(must not be related to you)

How do you know them?

Second referee's mobile

Second referee's email

Other Considerations

Your physical and mental health

Overseas placements can be emotionally and physically demanding. Let us know if there’s anything you need us to know about your physical and mental health

Are there any adjustments we would need to make in order for you to attend interview?

Declarations

I confirm that I have read and am in agreement with the Crosslinks Statement of Faith

I confirm that to the best of my knowledge the information contained in this form is accurate and truthful

Name / Signature

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