Application for GoConnect Trips & Internships

Each of the trip and internship opportunities Kontaktmission offers is designed for people at a particular point in their development as potential missionaries. Your answers to the questions on this form will help us determine where, and on what kind of trip, to place you. An experience in a foreign country can be thrilling and life-changing in positive ways, and it can also be very difficult and personally challenging and even troubling. We, like you, want to glorify God with this trip, and we want to be sure to help you get exactly the kind of trip and experience you need.

There are no right or wrong answers, just helpful ones! Your responses and personal information will be kept strictly confidential.

General Information
Name*
First Last
Date*
MM slash DD slash YYYY
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Primary Phone*
Is this a mobile phone?*
- Yes
- No
Other Phone
May we text you on this number?
- Yes
- No
What country / countries are you interested in?*
Applying for:*
(Pick one; applying does not guarantee placement.)
- GoConnect Trip
- Internship
- Beginning Service with KM
Education and Employment Information
Date of Birth*
MM slash DD slash YYYY
Are you attending college?*
- Yes
- No
Years left in college (if applicable)
College name
Major
Is an internship required for your degree program?
- Yes
- No
Number of credit hours for this
Highest year/degree of education completed*
Career goal
Current employer/job
Marital status
How many children?
Ages
Citizen of what country?
Foreign languages in which you are fluent
Foreign languages in which you have some ability
Number of years of education (or daily experience) in best foreign language
Readiness Questions
Would close relatives (especially parents) support your decision to take a trip?
- Yes
- No
How sure are you that you wish to be a long-term missionary?
- Very
- Fairly
- Not sure
If you answered “very sure” or “fairly sure”, please write in your own words why you wish to serve as a missionary:
Please explain why you wish to take a trip or do an internship:
What is the longest period of time you have been away from your own bed?
What do you consider to be your greatest personal strengths?
What do you consider to be your greatest personal weaknesses?
Would people who know you well agree with your answers to the previous two questions?
Do you prefer to work by yourself on projects, or in a team with others? Please explain your reason for this answer.
If you are a student, please provide us with a name of a faculty reference at school we may contact about the possibility of your serving on a short-term trip or internship. If you are not a student, please provide a pastor’s name and the name and location of the church.
Full Name Position
Faculty contact phone or e-mail address:
What are your highest hopes for this experience?
Please tell us about any medical conditions that may affect your experience or where we place you. Examples of these include allergies (pollen, animals, food, medicine), diabetes, physical limitations, etc.
Please tell us about any psychological difficulties or traumatic life situations you deal with which may affect your response to a stressful situation involving such problems as difficult people, strange surroundings, uncertainty, etc. Examples are childhood abuse, mental illness, and current stressful home situations.
Have you undergone counseling/therapy for emotional or psychological issues?
- Yes
- No

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Application for GoConnect Trips & Internships

General Information

Education and Employment Information

Readiness Questions