TEAM PREFERENCE

Interns/Specialists are individuals with specific skills that desire to work with Care for Life either in the USA or traveling to Mozambique for a specific project. Time commitment will be 1 to 3 months depending on their specific project. If traveling to Mozambique the intern/specialist must be fluent in Portuguese. Housing in Mozambique will be provided by Care for Life, but each intern/specialist will pay for food, personal expenses while in Mozambique, and travel to and from Mozambique.

There are many types of internships available: Accounting, Business, Education, Marketing, NGO Management, IT, Computer Technology, Grant Writing, International Development, Human Resources, Photographer, Videographer, and others. If your area of expertise is not listed on the www.careforlife.org please describe your skills below and a Care for Life staff member may coordinate other possible internships with you.

There will be a personal or phone interview before being accepted as an intern/specialist with Care for Life.

PREFERENCE

 USA Mozambique

Please list dates of availability for service

PERSONAL INFORMATION

Gender  Male  Female

First Name

Last Name

Preferred Name 

Date of Birth (dd-mm-yyyy) 

Phone Number 

Email Address

Current Address 

City 

State 

Zip Code 

Permanent Address 

City 

State

Zip Code 

Please list your skills/expertise and describe how you woud like to use it in working with Care for Life.

Please tell us what draws you to Mozambique and why you would like to do an internship with Care for Life.

BACKGROUND INFORMATION

List your education and previous volunteer experience.

PERSONAL REFERENCES

References should not include relatives. Church leaders, teachers, and employers are preferred.

REFERENCE #1

Name

Phone 

Email 

Address 

REFERENCE #2

Name 

Phone 

Email 

Address 

REFERENCE #3

Name 

Phone 

Email 

Address 

MEDICAL HISTORY (MEDICAL INFORMATION DOES NOT HAVE TO BE FILLED OUT IF VOLUNTEERING IN THE US)

Blood Type

Please list/describe any illnesses, injuries, or operations you have had.

Have you ever suffered from any psychiatric or psychological problem,
including anxiety or depression. If so, describe list below.

Please list any allergies.

Have you ever been convicted of a crime? If so, please explain.

EMERGENCY CONTACT INFORMATION

Name

Phone

Cell Phone 

Email 

Address 

Relationship 

*The above information is truthful and complete.
PRINT NAME