St. Nicholas Russian Orthodox Church

www.stnichoalasjuneau.org • P.O. Box 20130 • Juneau, Alaska 99802 • (907) 586-1023

St. Nicholas Orthodox Church Internship Application 2014

Personal Information:

Last Name: / First Name: / Suffix:
Permanent Address: / City: / State: / Zip:
Email: / Phone: / Are you eligible to work in US? Yes No
Date of Birth:

Education Background:

Most recent education / School Name: / City, State / Degree/Major / What years did you attend?

Dates Available for Internship:

Please state the timeframe and length of time you are available for the internship.

Describe your interest in serving as an intern at St. Nicholas Orthodox Church in Juneau, Alaska:

Please include your relationship to the Orthodox Church, previous travels to Alaska, and experiences as an intern or volunteer.

Please your skills, interests, and experience working in customer service or similar situations:

Please describe your strengths and weakness in working independently:

Please describe any special interests, hobbies, skills such as computer skills data base building, foreign language proficiencies that you think might be an asset to serving as an intern:

Please describe your needs and expectations during the time of this internship:

Please any allergies, housing needs, financial needs, or special requests such as time to attend the St. Herman Pilgrimage or travel to additional Alaska communities.

Have you ever been convicted of a crime? (please circle) Yes No
If yes, please explain crime(s).

I understand that this application is subject to review and that background checks, interviews, and/or reference checks may be involved in this application process. I attest that all information provided in this application is accurate to the best of my knowledge, and will be kept confidential. I further agree that I will not hold St. Nicholas Orthodox church, Diocese of Sitka and Alaska, or the Orthodox Church in America liable for any damages or personal injury sustained while en route, or on site that I am interning.

Signature: ______Date:______

St. Nicholas Orthodox Church, PO Box 20130, Juneau, AK 99802; 907-586-1023;

email contact thru the website at www.stnicholasjuneau.org

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