AIM WEST COAST REGISTRATION
AIM WEST COAST Registration Form
Apply by downloading, completing form, then emailing it to: joakes01@san.rr.c
om. Or print and complete the following form and mail it to AIM WEST, 1074
7 Cariuto CourtSan Diego, CA92124. Include: $50 fee. Make checks or money orders to
Apologetics Research Society. Memo: For AIM WEST
1. Full name (as you would like it
to appear on the A.I.M. diploma): ______________________________________________
__
2. Age: _____ 3. Gender: M F 4. Married? _____ 5. Ages of children (if any): __
__________
6. Home address: _________________________________________________________
7. Home tel. no:. ________________________ (include country
code if international)
6. Email address: ________________________________________________________
_
7. City and nation of residence: ________________________________________________
_
8. How many years a Christian: _______
9. Leadership role in the church (past or present): _______________________________
_____
10. Occupation & how many years in this profession: _________________________________
11. Education: high school, bachelors, masters, or doctorate _____________________
______
12. Why do you want to participate in AIM? (What do you hope to learn from this
course?)
13. How will you finance the tuition costs? A. My congregation is paying B
. I am paying personally
14. Where would you prefer to be housed? (Note: this is not included in tuition cost.)
A. Hotel B. Member home (if available) C. I am staying with friends
15. 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@Dougla
sJacoby.com and to athensinstitute@bellsouth.net.
(Recommendation letter not needed for staff persons.)
16. Who are you planning to ask for this reference?
