ABOUT US BEING AN INTERN APPLY DONATE CONTACT US

 

 

 

Personal Data  
First Name:
Middle Name:
Last Name:
Suffix:
Preferred Name:
Birth Date:
Gender: Male     Female
Marital Status: Single     Engaged     Divorced
Height:   ft.    in. Weight:  lbs.
Citizenship: USA     Other
If Other:
Physical Address  
Street:
City:
State/Province
If Other:
Zip/Postal Code:
Country:
Other Info  
Home Phone: ()   -   
Cell Phone: ()   -   
Email:
Confirm Email:
T-Shirt Size:

Personal History  
Please Answer the following questions carefully and truthfully.
Failure to do so may result in dismissal from the Internship.
Have You Ever:  
Been involved in drugs/alcohol? Yes     No
Been involved in the occult/a cult? Yes     No
Been involved in gang activity? Yes     No
Been arrested? Yes     No
Been suspended or expelled from school? Yes     No
Struggled with homosexuality? Yes     No
Struggled with pornography? Yes     No
Stuggled with stealing? Yes     No
Stuggled with an eating disorder? Yes     No
Have you been sexually active within the past year? Yes     No
Have you ever had professional counseling? Yes     No
Have you ever been pregnant or fathered a child? Yes     No
Intentionally inflicted harm on yourself? Yes     No
Struggled with depression or suicidal thoughts? Yes     No
Are you currently involved in any kind of dating relationship? Yes     No

Health
Do you have any physical handicap, disability, or disease that might affect your participation in your internship? If yes, please explain: Yes     No
Do you have any chronic illness or allergies? If yes, please explain: Yes     No
Are you presently under any medication prescribed by a doctor? If yes, please explain: Yes     No

Biographical Information
*Note: Each answer must be between 150-250 words.
Give an overview of your personal history. Include where you grew up, family situations (childhood to present), and how you feel these experiences will affect your participation in the Internship.
Tell how and when you became a Christian and about your personal growth in Christ.
Date you made a committment to follow Christ:  
(estimate if you are uncertain of the exact date)
Who has made the biggest impact on your life, besides the Lord? Please explain.
Please list three of your strengths.
1.
2.
3.
Please list three of your weaknesses.
1.
2.
3.
Explain how and why you feel God is calling you to be a part of the Honor Academy of the Ozarks. Include how you believe the Honor Academy of the Ozarks can help you meet your goals and how you can help fulfill the mission of the Honor Academy of the Ozarks.

Teen Mania Missions  
Have you ever been on a mission trip with Teen Mania? Yes     No  
What country did you visit on your last trip with GE?
What year did you last go on a GE trip?
Project Directors:
1.           2.  
Briefly describe any other missions experience you might have had (if applicable):

Family & Friends  
Parent/Guardian 1  
Relationship:
First Name:
Last Name:
Home Phone: ()   -   
Email
Parent/Guardian 2  
Relationship:
First Name:
Last Name:
Home Phone: ()   -   
Email
Best Friend  
Name:
Describe your relationship with your best friend:

Education  
High School  
Name:
City:
State:
GPA:
Year Graduated:
Type of School:
Will you or did you receive a GED instead of graduating from High School? Yes     No  
College  
Name:
City:
State:
Major/Focus:
GPA:
Dates Attended: --

Work Experience  
(Please list the most recent employer first)  
Specific Nature of Work:
Employer:
Start Date:
End Date:  Present   --OR--
Approximate Hours/Week:
 
Specific Nature of Work:
Employer:
St art Date:
End Date:  Present   --OR--
Approximate Hours/Week:
 
Specific Nature of Work:
Employer:
Start Date:
End Date:  Present   --OR--
Approximate Hours/Week:

References  
Have 2 or 3 references complete the recommendation form. (See bottom of page)
Your pastor's recommendation is required.
Pastor  
Name:
Church's Name:
Phone: ()   -   
Teacher  
Name:
Phone: ()   -   
Employer  
Name:
Phone: ()   -   
Friend  
Name:
Phone: ()   -   
Friend  
Name:
Phone: ( )   -   

Authorization  
This section of the application is required to be filled in order to continue.
Verification  
  I certify that all information submitted in the application process is my own work, factually true, and honestly presented. I understand that I may be subject to disciplinary action, admission revocation, or dismissal should the information I have certified be false.
Signatures  
Initials of Parent/Guardian
(If participant is 17 years of age or younger)
Date:
Participant Initials
Date:

You can print out the recommendation forms and have your references send them to: Honor Academy of the Ozarks, 50 Hope Way, Branson West, MO 65737

The Honor Academy of the Ozarks is a charter of Teen Mania's Honor Academy in Garden Valley, Texas.