Preview · AIA Sports Performance

General Information

Titleasterisk

First Nameasterisk

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Last Nameasterisk

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Ethnicity

Date of Birthasterisk

Contact Information

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Alternate Phone

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Time Zoneasterisk

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What is your preferred method of communication?

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Home Address

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How did you hear about AIA?asterisk

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Current School - Select the state your school is in and click 'Find Schools'

Year in Schoolasterisk

Divisionasterisk

If "Other" please explain: — appears when “Other” is picked

Graduation Dateasterisk

If you're not sure of the exact day, pick the closest date to when you expect to graduate.

Earliest Date You Can Reportasterisk

Date You Must Returnasterisk

Which Statement best decribes youasterisk

Briefly describe your spiritual journey and where you are today?asterisk

Are you involved in a church at home and/or school?asterisk

Yes No

What Church do you attend and how are you involved?asterisk

One distinctive of participating on an AIA Experience is group Bible studies where we will teach you how to study the Bible, learn to communicate your faith, and equip you with other life and ministry skills. Do you have any objections to participating and engaging with this process?asterisk

Yes No

Please explain explain your objectionsasterisk

Have you participated on an Athletes in Action or Cru Mission Trip in the past?asterisk

Yes No

Which Opportunites did you participate on and what year?asterisk

Have you discussed with your parents or guardian your desire to partipate in this AIA Experience? If yes, what was their response?asterisk

Yes No

What is your motivation to apply for this AIA Experience? What do you hope to learn from it?asterisk

height (inches)asterisk

weight (pounds)asterisk

date of last health examasterisk

List any allergies or health problems that may restict your ability to participate on an AIA Opportunityasterisk

List all injuries or health problems which required medical attention in the last five years. Please give dates!asterisk

Do you follow a special diet or are there any types of food you do not eat?asterisk

Yes No

Please Describeasterisk

Primary Emergency Contact Address

Nameasterisk

Phoneasterisk

( ) –

Email for Emergency Contactasterisk

Relationship To Youasterisk

Secondary Emergency Contact

Name

Phone

( ) –

Relationship To You

In order to maintain the integrity of our ministry, Athletes in Action does not permit the consumption or purchase of alcohol, illegal drugs or tobacco while participating on an AIA Experience / Mission Trip. Are you willing to comply with this policy?asterisk

Athletes in Action strongly believes in honoring God with our minds and bodies (1 Corinthians 6:12-20) and as part of the discipleship curriculum we will teach the biblical view of marriage and how to have healthy relationships with others. Are you open to learning and discussing what the Bible says about these areas?asterisk

Apply Forasterisk

Are you a Certified AT?asterisk

Yes No

Describe your professional experienceasterisk

Job Title (if applicable)asterisk

Have you ever been denied a license to practice athletic training or another healthcare profession by a state licensing agency?asterisk

Yes No

AT Employerasterisk

Have you ever been disciplined in any state you hold, or have ever held a license to practice athletic training or another healthcare profession?asterisk

Yes No

Have you ever had a lawsuit brought against you for services that you provided as an athletic trainer or healthcare professional?asterisk

Yes No

Level of Education (certified)asterisk

Applying for (select all that apply) - certifiedasterisk

Date you completed your most recent degree?asterisk

Please list all your credentials / certificationasterisk

Please list any specific professional expertiseasterisk

Are you a Student Athletic Trainer

Yes No

area(s) of studyasterisk

Level of Educationasterisk

Will you be receiving academic credits for your experience at AIA?asterisk

Yes No

Describe your experience (Clinical Rotations, Courses Completed and Other related Experiences)asterisk

Applying for (select all that apply)asterisk

Are you a Strength and Conditioning Student?asterisk

Yes No

Level of education (student)asterisk

Area(s) of studyasterisk

Will you be receiving academic credits for your experience at AIA?asterisk

Yes No

Describe your experience (Clinical Rotations, Courses Completed and Other related Experiences)asterisk

If "Other" please explain:

Coach or Supervisorasterisk

Added references are emailed their link when you submit — or send one now.

Spiritualasterisk

Added references are emailed their link when you submit — or send one now.

Peerasterisk

Added references are emailed their link when you submit — or send one now.

AIA Sports Performance Summer 2026

General Information

Contact Information

Home Address

Primary Emergency Contact Address

Secondary Emergency Contact