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Personal Data |
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| * First Name |
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| * Middle Name |
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| * Last Name |
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| Name you are known by |
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| * Birth Date (MM/DD/YY) |
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| * Sex |
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| * Marital Status |
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| * Social Security Number |
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| Ethnicity |
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| Father/Guardian Name |
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| Mother/Guardian Name |
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Permanent Physical Address |
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| * Street |
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| * City |
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| * State/Province |
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| * Zip/Postal Code |
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| * Country |
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| * Home Phone |
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| * Email |
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Education |
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| High School |
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| Year Graduated |
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| GPA |
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| Address |
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| City |
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| State/Province |
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| Zip/Postal Code |
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| College |
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| Year Graduated |
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| GPA |
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| Address |
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| Zip/Postal Code |
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| Major |
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| Minor |
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Employment History |
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| Company |
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| Manager |
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| Phone |
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| Start Date |
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| End Date |
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| Position |
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| Reason for leaving |
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| Company |
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| Manager |
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| Phone |
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| Start Date |
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| End Date |
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| Position |
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| Reason for leaving |
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Personal Health |
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| * Do you have a physical handicap, disability, or disease which might effect your ability to fully function as an intern? |
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| * Do you have any chronic illness or allergies? |
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| * Are you presently under any medication prescribed by a doctor? |
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Self Evaluation |
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| On a scale of 1 to 10, 10 being the highest, please evaluate your personal strengths and weaknesses |
| * Relating to new people |
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| * Establishing relationships |
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| * Maintaining friendships |
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| * Problem solving |
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| * Sense of humor |
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| * Confronting |
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| * Ability to finish what is started |
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| * Encouragement |
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| * Conversations with strangers |
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| * Listening |
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| * Ability to submit to leadership |
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| * Being an example |
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Questionnaire |
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| * What was the last DVD you bought? |
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| * What were the last three movies you saw in theaters? |
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| * How many hours of TV do you watch each week? |
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| * Do you prefer Mac or PC? |
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| * Describe your abilities with a computer |
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| * Where did you first here about the Center For Creative Media? |
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Biographical Information |
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| * 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. |
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| * Tell how and when you became a Christian and about your personal growth in Christ. |
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| * Describe your current walk with the Lord, including how your faith is growing, the spiritual influences in your life, your quiet times, church involvement, leadership experience, and outreach activiti |
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| * Who has made the biggest impact on your life, besides the Lord? Explain. |
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| * List and explain three of your strengths. |
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| * List and explain three of your weaknesses. |
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| * Explain how and why you feel God is calling you to be a part of the Center for Creative Media. Include how you believe the Center for Creative Media can help you meet your goals and how you can make a |
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