Campus Missionary Intern Application 2023-2024

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电子邮件地址 *

What is your name (as it appears on your Driver's License or Passport)?

FIRST, MIDDLE, & LAST

Preferred first name (if different)

Have you used other names in employment or school enrollment?
*

Yes

If Yes, list name(s) here:

College Name *

Gender? *

Male

Female

Date of Birth
(Enter as MM/DD/YYYY; to be a CMI, you must be between the ages of 21-27 on August 1, 2023. If your age falls outside of this parameter, please contact your director who will ask Clayton Bullion for an exception)
*

年

月

日

What are the last 5 (yes, FIVE) digits of your Social Security Number?
*

What is your country of citizenship? *

If you are NOT a US citizen, do you have the following documents?

Social Security Card with DHS authorization

DHS Employment Authorization Card

I do not have these documents but have begun the application process for them (if you have not started the work visa application process, please do so right away)

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