Returnee Summer Missions Application
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Email
*
example@example.com
Name of Parents/Guardians(if under 18):
Reference #1
Reference #2
Reference #3
Give approximate date of conversion:
With what denomination and/or local church are you connected?
Write a biographical sketch describing your Christian experience. You must include: 1) The basis of your salvation:
2) Your spiritual growth since conversion:
3) Your practices in prayer, Bible study, church attendance, fellowship and witnessing:
4) Your Christian service:
5) Your convictions regarding tobacco, drugs, and alcohol:
6) Your purpose for applying to the CYIA summer missions program:
Disclaimer and Signature: I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release. I understand that Child Evangelism Fellowship will investigate my work and personal history and verify data given on this application. I authorize all individuals, schools, and firms named therein to provide information about me and I release them from all liability for damage in providing this information.
Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit
Should be Empty: