Application

Please answer the following questions and send the information to AICC.

Please note that all fields must be filled in before submitting the application.

After submitting the application please send an e-mail to the AICC Office to inform us that the appilcation has been sent.

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1

Name
2 Address
3 City
4 Country
5 Nationality
6 Phone
7 Fax
8 E-mail
9 Date of Birth
10 Gender
Male Female
11 Organization
12 Position within organization
13 Church Affiliation
14 Role within church
15 List previous education and diplomas/degrees earned
16 Special education in the area of communication or media ministry
17 Is your organization sending you to AICC-13?
18 How do you expect to cover financial expenses in relation to AICC-13 (travel, board and lodging, registration charges and books)? Please give details.
19 Why do you want to attend AICC-13?
20 How would AICC-13 help you in your ministry?
21 Are there specific problems/questions in relation to your present ministry that you want to work on during AICC-13?
22 An integral part of AICC is the Field Project which each participant must carry out after the Institute. You must come to AICC-13 with a clear project proposal (details will be sent after you have been accepted). Please describe the project you expect to propose, its objective and anticipated outcome.

Description:

Objective:

Anticipated outcome:

23 Please give names and addresses (including e-mail addresses) of two referees to whom AICC can write for information and recommendation for you.

Referee 1:

Referee 2:

Please also send an e-mail to info@aicc.info to inform the office that your regisration has been submitted