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Personal Information
Full Legal Name*
First Last
Please enter your name as it appears on your driver's license or state ID.
Nickname
If you go by a different first name than the one above, enter it here.
Email*
Primary Phone #*
Twitter-inactivefield
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Gender*
Sexual Orientation (optional)
Ethnicity*
Birthdate*
Date Format: MM slash DD slash YYYY
Denominational Affiliation*
Emergency Contact Name*
Enter the full name of someone who we can contact in case of emergency.
Emergency Contact Phone*
Please enter a phone number for your emergency contact person.

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Program Application Information
How did you hear about us?*
Tell us more about how you heard about us.
Application Year*
INACTIVE - Are you interested in the Mission Year + Eastern University Partnership?
- Yes
- No
Are you available for the full length of the program, beginning August 17, 2020 and ending June 25, 2021?*
- Yes
- No
Share your motivation for applying.*
Which most accurately describes your stage of life?*
Complete this sentence: "I think others would describe me as..."*
Have you spent time living in a large city before, and if so, what was that experience like for you?*
In what ways do you see Mission Year being a good fit for you at this point in your journey, and you a good fit for Mission Year?*
Please list the names of any Mission Year alumni you know.

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Education and Employment History
Mission Year will need a resume for each team member before placing them at their service site. If you have one ready, you can upload it here and move onto the next section. If you need more time to complete one, you can fill out the information below and we will ask for it later in the process.
Upload your resume (optional)
Upload a recent photo of yourself
Accepted file types: jpg, gif, png.
School
Graduation Year or Current Year in School
Major (if applicable)
Minor (if applicable)-inactivefield
Place of Employment
Title
Years with Company

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Short Answer Questions
How would you describe yourself? What are gifts that you believe you would offer to your house community, your service site, and to Mission Year? (If you find it useful to draw from personality systems like Myers-Briggs, StrengthsFinder, or the Enneagram, you can reference that here)*
What does being a Christian mean to you, and how has it impacted and influenced your life so far?*
What thoughts do you have about Christian missions, and have you had past experiences with them before?*
What are ways that you hope to grow spiritually or things you want to learn more about in your faith through your involvement in Mission Year?*
What do you hope for or desire from living in Christian community with others, and have you had past experiences doing so?*
How are social justice, diversity, and inclusion related to your faith?*
When you think about participating in a program like Mission Year, what are some of the aspects you feel most excited about? And what elements do you anticipate being more challenging?*
Please add any other information you feel we should know processing your application.

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References
THIS SECTION IS REQUIRED. Please choose two non-family, non-peer persons to provide references for you. References can be pastors, coaches, mentors, professors, etc. They can fill out the form online at www.missionyear.org/reference. If hard copies are needed, please contact us.
Reference #1 Name*
Relationship*
Email
Phone
Reference #2 Name*
Relationship*
Email
Phone

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Applicant Agreement
To the extent of my knowledge, the information on this application is truthful and accurate. I understand that background checks revealing undisclosed evidence of criminal activity and/or child abuse will disqualify me from consideration for Mission Year. By means of this release I authorize Mission Year to make inquiries about me with the people listed in this application.
Name*

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Personal Information