Online Form: MIP Student Profile

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MIP Credits
If you completed the Ministerial Internship Program (MIP) and want to receive CIMS credit, please answer the following:*
- I want to apply my MIP studies toward CIMS credits.
- I want to apply both my CAMS and MIP studies toward CIMS credits.
Please select from the list the state/region completed MIP.*
Enter the year completed MIP.*
If you are unsure, please select your best guess.
Personal Information
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Personal Information
Name*
First Middle Last Suffix
Today's Date
YYYY dash MM dash DD
Name used when enrolled in MIP*
First Middle Last Suffix
Email*
Phone*
Birth Date*

Year
Month
Day

MIP Credits