City to City Incubator Bolivia

First Name(Required)

Name

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Let’s Connect!
We help churches, businesses, universities, colleges, and donors in the U.S. join in God’s work and the church across Latin America.

Church, Business, or Organization Name*

Comments
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Date of Birth*

If no, what is your country of citizenship?

Spouse Email (if applicable)

Tell us about your interest in serving with South America Mission.*

Phone

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Short-Term Team Participant Form

PARTICIPANT INFORMATION (completed by participant or authorized guardian)

Please indicate the organization or team name of the team you will be participating with:*

Mobile Phone Number*

Passport Issuing Country*

Passport Expiration Date*

Date of Birth*

Special accommodations for physical conditions

Prescription medications list

Dietary restrictions

Emergency Contact Name*

Mobile Phone Number*

If you are under 18 years, please type the email of a parent and/or guardian.

Date*

Phone

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South America Mission is privileged to carry out Christian ministry that results in “redeemed lives, beautiful churches, and transformed communities.” Towards that end, we are continually developing a staff team of competence, character, and commitment to serving others. We desire to have a team that joyfully works together with passion for our mission. Thank you for your interest in being part of our team and taking this first step of exploration with South America Mission.

Role(s) Interested In*

Available Start Date*
MM slash DD slash YYYY

Desired Annual Salary*

Do you know anyone who has been or is still employed by our organization? If yes, please list name(s):*

Why are you interested in working with South America Mission?*

Please list up to three post-secondary education experiences, starting with the most recent. This may include college, university, seminary, or formal training programs.

1. College, University or Training Program Name

2. College, University or Training Program Name

3. College, University or Training Program Name

EMPLOYMENT HISTORY

Please list up to 3 previous employers, starting with your most recent.

Start Date*
MM slash DD slash YYYY

End Date
MM slash DD slash YYYY

Responsibilities / Achievements*

Supervisor’s Name & Title*

Start Date
MM slash DD slash YYYY

End Date
MM slash DD slash YYYY

Responsibilities / Achievements

Reason for leaving

Supervisor’s Name & Title

Start Date
MM slash DD slash YYYY

End Date
MM slash DD slash YYYY

Responsibilities / Achievements

Reason for leaving

Supervisor’s Name & Title

Please describe any languages you speak and your level of fluency.

FAITH AND PASSIONS

Current Church You Attend*

How long have you attended this church?*

What is / has been your church involvement?*

Provide us with the name and contact information of a pastor or spiritual mentor who can speak to your Christian character.*

This section is reserved for you to speak into your faith, passions, and additional skills that you would like to share.

RESUME & COVER LETTER

Please upload a current resume (PDF).*
Max. file size: 50 MB.

Please upload a cover letter (PDF).*
Max. file size: 50 MB.

APPLICANT INFORMATION

If yes, please kindly explain:

South America Mission is both an equal opportunity employer and a faith-based religious organization. We conduct hiring without regard to race, color, ancestry, national origin, citizenship, age, sex, marital status, parental status, membership in any labor organization, political ideology, or disability of an otherwise qualified individual. The status of South America Mission as an Equal Opportunity Employer does not prevent the organization from hiring personnel based on their religious beliefs so that all personnel share the same religious commitment. Pursuant to the Civil Rights Act of 1964, Section 702 (42 U.S.C. [§] 2000e[- ]1(a)), South America Mission has the right to hire only candidates who whole-heartedly and without reservation agree with South America Mission's Beliefs.

Date
MM slash DD slash YYYY