Application  
 
*Print from computer, fill out, and send to:  
AIM SUMMER PROJECTS  
3523 E. Beech Wood Lake Rd. 
Bloomfield, IN 47424 (USA)  
 
**PLEASE PRINT - USE INK**  
 
Full Legal Name (as on your birth certificate and/or 
passport)______________________________________  
Name as you would like it to appear on your Prayer Cards and ID 
Badge_____________________________  
Street Address__________________________________ 
City_____________________________ State/Province__________  
Zip/Postal Code___________  
(College students, please attach your permanent address and phone number as 
well.)    
Phone (_____)_______________  
Height__________ Weight________  
Date of Birth: Month _______Day ______Year_______  
Email Address _____________________________________  
Citizenship: (   ) U.S. (   )Canada (   ) Other____________________  
Age______ Sex________ Year of Baptism___________   
 
Parent's Name(s)___________________________________________  
Phone (   )____________________  
 
Preacher's or Youth Leader's Name __________________________________  
Phone (   )________________  
Church you attend:_______________________________ Member: Y____ N_____ 
Avg. hours per week at church_____  
Street Address_____________________________________ 
City_______________________ State/Province___________  
Zip/Postal Code___________   
 
How did you hear about  Adventures In Missions? 
___________________________________________________  
1st Choice Team_____________________________________ 
2nd Choice Team____________________________________  
 
Do you have a current passport? Y_____ N______  
What is your passport number?_______________________  
Are you an AIM veteran? Y_____ N_____   
Are you applying for:  
Summer Internship? Y_____ N_____  
A leadership position? Y_____ N_____ (Min. age-22)   
 
Why do you want to participate in this project? 
____________________________________________________ 
____________________________________________________  
Briefly describe your personal relationship with God 
____________________________________________________ 
____________________________________________________  
 
(    ) Enclosed is my Application Fee of $35 US ($50.00 Canadian) which is not 
transferable or refundable. Application Fee is not tax deductible. Contributions 
for expenses are tax deductible in the United States when given through 
Adventures In Missions.  
 
( ) Enclosed is a recent portrait or school photo. Application is not complete 
without your photo.   
 
For your free AIM t-shirt (adult sizes) to be given at camp, please check one:  
(   ) Small (   ) Medium (   ) Large (   ) X-Large (   ) XX-Large  
 
 
------------------------Office Use Only--------------------------------------------  
TML______ Received Date ______ Gen. Info Sent _____  
 
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