AIIM Member Registration

Note for those with AOL.com email addresses: We have found that AOL often blocks our email. If, after submitting the form below you do not receive a confirmation email within 10 minutes, please contact us (at congreg@wakehealth.edu) so we can ensure your application is processed in a timely manner.

  • Contact Info

  • Street address
  • The U.S. state where this AIIM member lives.
  • About You

  • Enter how many years of experience you have
    Select the US states in which you are willing to serve.
  • Upload
  • Previous Employers

    Please enter your last three employers in reverse chronological order -- i.e. begin with the most recent.
  • Education

    Please complete all fields for each course of study completed. List in reverse chronological order -- i.e. begin with the most recent.
  • Continuing Education

    Please enter your most recent three continuing education accomplishments. List in reverse chronological order -- i.e. begin with the most recent.
  • References

    Please provide three references, including the transition team chair or deacon chair of the last church you served.
  • Password

    You may reset your password using the following fields. If you do not wish to change your password then leave these blank.
  • Minimum length of 8 charactersStrength indicator