Name:
Address:
Email:
Phone:
Age:
1. Please state reasons for wanting to intern at Freedom Farm.
2. Religious or spiritual tradition and background:
3. Educational background:
4. Work Background:
5. What skills and interests would you bring to an internship experience?
6. What might be your challenges?
7. Any psychological, medical, or drug history which would help those who work/live with you to know?
8. Are you interested in peace, justice, and breaking cycles of violence? How so?
9. Are you interested in using Biblical reflection as a basis for social change (Liberation Theology)?
10. Have you worked with youth before? What ages?
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11.Your internship could involve helping to care for small children if you are interested. Do you have an interest in this?
12. Do you have any criminal history or history involving abuse of children in any way? If yes, please explain.
13. Do you have experience or interest in\rural living (gardening – tilling, planting, weeding, harvesting, gathering hay, mowing, collecting fire wood, drying herbs, cooking...)?
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14. Have you ever lived in community before? Briefly describe your experience.
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15.What are your hopes and expectations for the internship?
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16. Feel free to share a bit more about yourself- i.e. hobbies or any information you deem important that you didn’t already mention.
17. Please forward to Freedom Farm two recommendations from people who know about your ability to interact and work with others. Please provide the name and phone number below, so that we may call and talk to them personally. Thanks.
