STM INTEREST FORM Before you begin, please note. The Associate programs (AIM/AMP) of UPCI Global Missions Short-Term Missions is offered only to those with US or Canadian citizenship. Are you a US or Canadian citizen?* Yes No If not a US or Canadian citizen, please indicate your citizenship.*NOTE: This is not an AIM Application. This STM Interest Form will be used by a missions coach to assist you in deciding which STM program is your next right step in missions. To apply for AIM, please go to the Apply page.The year in which I plan to AIM is:*Months I would like to AIM in a year is:*Minimum is 2 months2 months3 months4 months5 months6 months7 months8 months9 months10 months11 months12 monthsName* First Last Mobile #*Email* Marital Status* Single Married Divorced Other Gender* Male Female Age*Minimum age at time of departure: 18-years oldLOCATIONWhere would you like to go? (check all that apply)Where would you like to go?* I don't know What are my options? Region/Location Preference*Select the region of interest. Africa (AFR) Asia (ASI) Central America/Caribbean (CAC) Eurasia/North Africa (ENA) Europe (EUR) Pacific (PAC) South America (SAM) Country/Location Preference (outside of USA/Canada)*Enter the country of interest. If you aren't sure about the country, enter "OPEN".This field is hidden when viewing the formRegion/Location Preference: OLD*If you aren't sure about the country, select a region from the list below and we'll forward your information to that region's missions coach. Africa (AFR) Asia (ASI) Central America/Caribbean (CAC) Eurasia/North Africa (ENA) Europe (EUR) Pacific (PAC) South America (SAM) Let's Narrow things down...*Pick the route that identifies most with where you want to go from here. Tell me about the Next Steps Summer program. Tell me about missions events coming up so I can attend. Send me the free book, Sensing God's Direction. NEXT STEPS PROGRAMPlease visit the Next Steps Website for details about this incredible 8-week summer program (3 weeks on-site training, 5 weeks apprenticeship). MISSIONS EVENTSPlease visit the the Global ConNEXTions website for events coming soon and registration links. SENSING GOD'S DIRECTIONPlease enter your mailing address (USA/CANADA) and we'll get a "Sensing God's Direction" book out to you right away, no strings attached. Head over to the Go! Center or back here when you're ready to take your next right step toward the harvest.MAILING ADDRESS* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code USA/CANADA OnlyAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country MY INTERESTSTell us about your interests (check all that apply)SERVICE Elders/Seniors Ministry of Helps MK Homeschooling TEAMS CSI (Compassion Services Int'l) Wells of Life Unreached Cities Project Evangelism Team Work Team Construction Team MINISTRY Bible Schools Bible Studies Children's Ministry Church Planter Evangelism Ministerial Trainer Evangelist Pastor Worship Youth Discipleship Other Opportunities CAREER Medical Administration Construction Internship Language Language: Interpreter Language: Translator Media/Tech/AV Social Work TESL/ESL/TFOL Certified Teacher Other Careers If other career, please explain:*MINISTRY EXPERIENCEPlease give us a little history lesson about how God has brought you to this point. Tell us about your ministry/career experience and/or qualifications for an AIM appointment. Please include your education level and any community, local and/or district involvement.My History:*Have you ever been part of the following: (check all that apply):* YOM (Youth On Mission) AYC Next Steps AIM Local Church Missions Trip CSI (Compassion Services Int'l) None of the Above Other than what you indicated above, have you ever served in ministerial or missional work overseas?* Yes No If yes, where and how long?*FIELD WORKTaking the time to answer these questions now will enable us to find a better fit for you quicker. So, thanks for your time!Desired Arrival Date:* Month Day Year Housing Preference/Proximity to Missionary:*Can you drive a manual vehicle?* Yes No Are you fluent in any language other than English?* Yes No If yes, please explain:*Are you licensed with the UPCI?* Yes No Do you attend a UPCI church?* Yes No If not, please indicate what type of church you attend.*Are you on Facebook?* Yes No If yes, what's your profile name?*Almost Done...Is there anything else we need to know before getting back to you with possible options? Such as when you plan to be able to go, any health challenges, etc.Final Notes:This field is hidden when viewing the formTime ZonePlease select the time zone you're in so we can schedule you for a ZOOM missions coaching session.Hawaii-AleutianAlaskanPacificMountainCentralEasternAtlanticNewFoundlandThanks for taking the time to fill out this interest form. A Go! Center Volunteer Coach will be getting in touch with you soon. You've taken a step in the right direction! We'll see you on the pathway to the harvest!CAPTCHA