ATHENS INSTITUTE OF MINISTRY

ONLINE APPLICATION FORM

(Rolling Admission)

Full name (as you would like it to appear on the A.I.M. diploma:
Email Address (AIM participation requires a valid email address):
First Name:
Last Name:
Middle Name:
Suffix (e.g., Sr, Jr, III, Esq, MD, PhD, etc.):
Age:
Gender: Male Female
Married:
Ages of children (if any):
(e.g., 2,4,6 for three children)
Home Street Address 1:
Home Street Address 2:
Home Telephone Number:
(please include country code)
City:
State/Province:
Country:
Postal Code/Zip Code:
How many years have you been a Christian?
Leadership role in the church:
(past or present)
Occupation:
How many years have you been in
this occupation?
Education:
(Please choose highest level completed)		 High School Bachelors Masters Doctorate
Program: Georgia Long Distance
Why do you want to participate in AIM?
 (What do you hope to get out of this course?)
Which session(s) of AIM are you planning to attend? I II III IV V VI VII VIII
During which session would you like to begin?
(You can start in any session.)		 I II III IV V VI VII VIII
If you are a Long Distance student, how soon would you like to receive your first set of DVDs?
How will you finance the tuition costs? My congregation is paying
I am paying personally
I am paying part and my congregation is paying part
Where would you prefer to be housed?
(Note: this is not included in tuition cost.) 		Hotel Member home (if available) I am staying with friends

Please speak to one of your church leaders (elder or evangelist) about AIM, and ask for a letter of recommendation as to why he thinks it would be good for you to take part. Please have this reference letter emailed to Dr.DJ@DouglasJacoby.com.

Who are you planning to ask for this reference?

If you need financial assistance, please also download, complete and return the following form: AIM Scholarship Application

Please review your application carefully and when you are ready press the "Submit Online Application" button below:

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