Form

Introductory Information

Note: All information provided on this form will remain confidential.

Preferred Name*

First Name*

(as listed on birth certificate)

Middle Name*

(as listed on birth certificate)

Last Name*

(as listed on birth certificate)

Street Address*

City*

State/Region*

Postal Code*

Country/Region*

Email*

Phone Number*

Date of Birth*

Gender*

Marital Status*

High School Graduation Year*

Are you a college graduate?*

Yes

If yes, what is your anticipated or official college graduation year?

Family Background

Parent / Step-Parent Information

Please provide addresses of parents and/or step-parents if they wish to receive updates from the AIM office.

Father / Step-Father*

Father's First Name*

Father's Last Name*

Father's Street Address

(if different from your own address)

Father's City

Father's State / Province

Father's Zip / Postal Code

Father's Email*

Father's Phone Number*

Mother / Step-Mother*

Mother's First Name*

Mother's Last Name*

Mother's Street Address

(if different from your own)

Mother's City

Mother's State / Province

Mother's Zip / Postal Code

Mother's Email*

Mother's Phone Number*

Church Background Information

Home Congregation*

Home Congregation Address*

Home Congregation City*

Home Congregation State / Province*

Home Congregation Zip / Postal Code*

Home Congregation Phone Number*

(123) 456 7890

Do you attend regularly?*

Yes

How long have you attended?*

Minister's Name*

(first and last name)

Minister's Phone Number*

(123) 456 7890

Elder (1) Name*

(if your congregation has no elders, please list a couple of leading men)

Elder (1) Phone Number*

Elder (2) Name*

Elder (2) Phone Number*

Have you been baptized?*

Yes

If so, briefly describe your conversion experience...

Are your parents members of the church of Christ?*

Yes

If yes, for how long?

Do your parents approve of you working on a mission field?*

Yes

Please describe your present relationship with your immediate family...*

Personal History

Missions Experience

Have you ever been on a mission trip?*

Yes

If yes: please list dates, location(s), and leaders names...

Other History

Within the past two years...

Areas of Growth

Important! Being a missionary apprentice requires a great deal of maturity, humility, and people skills. Many young people struggle in the following areas and need to resolve these problems BEFORE entering the AIM program. Many team problems and dismissals have resulted from those who were not truly ready for the level of expectations that were required of them. Please provide honest answers and check any struggles you have. Your references will be asked these same questions.

AIM Information

Other:

Will you have a car while in Lubbock?

Yes

Adventures in Missions truly is a life-changing experience. However, because of our focus, it is also very demanding. Students will be held to high standards in their studies as well as their character. As a result, it can be very stressful at times. Anyone who struggles with authority, impurity, low self-motivation, or depression should wait another year and focus on these issues BEFORE coming to AIM. If you believe you are ready to serve the Lord as a missionary apprentice, typing your name in the signature box below is your signature showing you have read and answered this form truthfully.

Signed*