Online Internship Application

All About Kids Productions

I am applying for: *

Personal Information

First Name: *

Middle Name:

Last Name: *

Nickname:

What do you prefer to be called?

Date of Birth: *

Gender: *

Marital Status: *

Are You a U.S. Citizen?: *

yes

If no, Please explain your status:

Are you currently attending college?: *

If yes, where?:

If yes, what year are you in?:

Permanent Address

Street Address: *

PO BOX:

City: *

State: *

Postal Code: *

Home Phone Number: *

(Please include your 3 digit area code)

Cell Phone Number: *

(Please include your 3 digit area code)

Email Address: *

Current or College Address

Same as Above: *

(If your current address is the same as above, you may leave this section blank)

Street Address:

PO BOX:

City:

State:

Postal Code:

At this address until:

Phone Number:

(Please include your 3 digit area code)

Church Information

Church Name:

Senior Pastor's Name:

Street Address:

PO BOX:

City:

State:

Postal Code:

Church Phone Number:

(Please include the 3 digit area code)

Website:

Denomination:

Medical Information

Do you have any medical condition that might hinder you on any unusually strenuous day with All About Kids Productions?: *

If yes, please explain:

Do you have any allergies? : *

If yes, please explain:

Are you on any prescription medicine(s)?: *

If yes, please explain:

Are you subject to fainting spells or dizziness?: *

If yes, please explain:

Are you diabetic? : *

If yes, please explain:

Do you have epilepsy or any seizure disorder?: *

If yes, please explain:

Do you currently have an eating disorder diagnosed as Bulimia, Anorexia Nervosa, or Compulsive Eating Disorder?: *

If yes, please explain:

Do you have any history of drug or alcohol abuse? : *

If yes, please explain:

Please Review Your Application

Once you click the submit button, all your responses will be emailed directly to us. Please take a moment and review your form for accuracy. Once you are satisfied, click submit.

Online Internship Application

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