AIM Preliminary Candidate Information

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Please note: The following form connects you to the AIM US office. If you are not living in the United States, check here for the AIM office closest to you.

Preliminary Candidate Information:
First Name:*	* = required fields
Last Name:*
Age:*
Gender:*	Male Female
Married:*	Yes No
Spouses Name:
Address:*
City:*
State:*
ZIP code:*
Country:*
E-mail: *
Phone Number:
Service Length:*	Short Term Team (2 - 16 weeks) Short Term(2 - 12 months) Extended Short Term (1 - 3 years) TIMO (2 year team internship) Full Term (4 or more years)
Ministry Interests :
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