AIM Application
Please select a trip from the drop down menu
Instructions:
Complete the pre-application (be sure to sign and date). This application is the first step in the application process.
If you are under 18 your parent/guardian will have to sign as well
There will be several more forms to complete once you are approved by the screening committe.
Your lead pastor and two mature Christians will need to complete reference forms and return them to the network office
with your first trip deposit.
Any international trip requires a passport number to complete and be considered for the trip.
Basic Profile Information
Tell us about yourself.
What trip are you applying for?
*
Please Select
Navajo Nation - Passport N/A (July 3-6, 2025)
Colombia - Passport Required (July 8-16, 2025)
Are you a
*
Student (under 18)
Adult Leader (over 18)
Young Adult (18-25)
Pastor/Youth Pastor
If you are applying for an international trip - do you currently have a passport?
*
Yes
No
If yes, what is your passport ID #?
Name
*
First Name
Last Name
Gender at Birth
*
Shirt Size
*
Church Name / City
*
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Best Phone Number to Reach You
*
Date of Birth
*
-
Month
-
Day
Year
Date
Age
*
Birthplace
*
State
*
E-mail
*
example@example.com
Parental Information
FOR STUDENTS ONLY - Leaders please skip to the next section and continue to fill out application. For parents that are deceased or unknown please indicate in the space below.
Father's Name
First Name
Last Name
Father's Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
Mother's Name
First Name
Last Name
Mother's Address (skip if same)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
Do you live with both parents?
Yes
No
If no, who is your primary guardian?
Emergency Contact Information
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
Relationship to Emergency Contact
*
Education & Experience
1. How many years of schooling have you completed?
2. Do you speak any foreign languages?
*
Yes
No
If yes, please list and note how fluent.
3. Do you hold dual citizenship?
*
Yes
No
If yes, where?
4. Please list any special skills, abilities, musical talents, etc., you may have.
*
Health Questionnaire
As we get closer to the trip, we may have more questions.
1. Are you in good physical health?
*
Yes
No
If no, please explain.
2. Do you have any physical handicaps?
*
Yes
No
If yes, please explain.
3. Will you be willing to eat whatever food you are served?
*
Yes
No
4. Do you have any known allergies, including food or medical?
*
Yes
No
If yes, please explain.
5. Are you currently taking any medications?
*
Yes
No
Spiritual Formation Questions
Tell us more about your walk with Jesus.
1. Have you confessed Jesus Christ as your Lord and Savior?
*
Yes
No
2. Have you been baptized in water?
*
Yes
No
3. Have you been baptized in in the Holy Spirit?
*
Yes
No
4. Describe your relationship with Jesus.
*
5. Describe your involvement in your local church.
*
AIM Experience
Tell us more about your missions experience.
1. Have you ever participated in an AIM outreach?
*
Yes
No
2. If yes, what year(s) did you participate and where did you go?
Further Questions About Your Church Leadership
Lead Pastor's Name
*
How long have you known your pastors?
*
Certification of Truth
By signing below, I certify that all of the above information is true, and I have answered each question completely and honestly. I also understand that my application will be sent to a screening committee for approval and any applicable fee is non-refundable.
Applicant Name (please print)
*
Applicant Signature
*
Date
*
-
Month
-
Day
Year
Date
Parent/Guardian Name (Students Only)
Parent/Guardian Signature (Students Only)
Date
-
Month
-
Day
Year
Date
Submit
Should be Empty: