2024 Summer Missions Application

2024 CYIA Application

Please complete the form below to apply to CEF of Indiana CYIA Program
Personal Information
Full Name*

First NameMiddle NameLast Name
Current Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Cell Phone Number*

Area CodePhone Number
Email Address*
Birth Date*

MonthDayYear
Gender*
T-Shirt Size*
Please use the button below to upload a recent picture that could be used for emails and prayer cards. Please make this a headshot with a simple background. (Have someone take the picture do not use a "selfie".) *

Browse Files

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Are you over 18 years of age?*
Name of Parents or Guardian:*
Are your parents/guardians in agreement with you serving as a summer missionary?*
If no, what is their objection?
How did you become interested in the CEF Summer Ministry Program?*
What county do you live in?*
Chapter Name*
This field will automatically populate based on the county you select above.
For what period of time would you be available to serve? (Give specific months and days)*

Education And Training
School you attend:*
Grade*
Church you attend:*
How long have you attended this church?*
Describe any previous training and experience you've had with Child Evangelism Fellowship:
Spiritual Life
Give approximate date of your conversion (the approximate date you believed in Jesus as your Savior):*
Share your heart:
Please share your testimony of how you became a Christian, include scripture references that your salvation is based on.*
How have you grown in your relationship with the Lord, since becoming a Christian?*
What are your practices in prayer, Bible study, church attendance, fellowship and witnessing?*
What ways have you served since becoming a Christian?*
What do you believe God teaches about the use of drugs, alcohol, and tobacco?*
What is your purpose for applying to the Summer Missions program?*

Experience
Present Occupation: (If employed, give name of employer. If student, give year expecting to graduate.)*
Have you ever been accused of or convicted of child abuse? *
Have you ever served in CEF Summer Missions through the CYIA program? *
If yes please give name, address and title of person under whom you served:
Describe any experience you've had in children's work in general:
Have you been used to lead a child to Christ? *
If yes please share about that experience:
References:
Your Pastor*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Email*
example@example.com
Phone Number*

Area CodePhone Number
Youth Pastor*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Email*
example@example.com
Phone Number*

Area CodePhone Number
Adult 1 (not family)*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Email*
example@example.com
Phone Number*

Area CodePhone Number
Adult 2 (not family)*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Email*
example@example.com
Phone Number*

Area CodePhone Number

Minors

Only complete this page if the applicant is under 18 years of age.
1. Parent / Guardian

First NameLast Name
Cell Phone

Area CodePhone Number
Email
example@example.com
2. Parent / Guardian

First NameLast Name
Cell Phone

Area CodePhone Number
Email
example@example.com
Travel Waiver for Minors

Only complete if applicant is under 18 years of age.
I am the parent or legal guardian of {applicantName} who is a minor at the date this waiver is signed. I give permission for him/her to travel and serve with Child Evangelism Fellowship.

I understand that there may be occasions (for example when traveling from one location to the next) that he/she may be in the company of only one adult or minor.
Signature of Parent / Guardian

First NameLast Name

Doctrinal Protection Policy
Are you in agreement with the Doctrinal Policy / CEF Workers Compliance Agreement (above)? *

Child Protection Policy

Please Read Below
Watch video if you have not watched yet.

Photo / Video Release Authorization
All applicants must sign below in agreement. If applicant is under the age of 18 the parent or guardian must sign.

Child Evangelism Fellowship® may, from time to time, document the activities of the ministry with photos or videos of club activities. I hereby assign and grant to Child Evangelism Fellowship Inc., its subsidiaries and successors, and assign the unqualified right to the ownership, use and proceeds of all photographs or video of me or my minor child, without reservation or limitation, including use of photographs or video of me or my minor child for advertising and promotional purposes.
Applicant*

First NameLast Name
If applicant is under 18 Parent or Guardian must sign also

First NameLast Name

CEF Statement of Faith
Please go to the address below to read the CEF Statement of faith.

https://www.cefonline.com/about/statementoffaith/
Are you in agreement with the Child Evangelism Fellowship Statement of Faith? *
If accepted, are you willing to work with denominations other than your own, but which are in agreement with Child Evangelism Fellowship's Statement of Faith?*
If accepted are you willing to work under the direction of those placed in authority and to accept and to perform assignments cheerfully?*
If accepted, are you willing to work with denominations other than your own, but which are in agreement with Child Evangelism Fellowship's Statement of Faith?*

Background/Reference Check Authorization

All applicants are required to read the Background/Reference Check Authorization Below. All applicants must sign below in agreement. If applicant is under the age of 18 the parent or guardian must sign.
Applicant*

First NameLast Name
If applicant is under 18 Parent or Guardian must sign also

First NameLast Name
Select all that apply.

I have read the Code of ConductIf accepted, I agree to abide by the Code of Conduct.I am in agreement with the Doctrinal Policy / CEF Workers Compliance Agreement.I have watched the Child Protection Policy video and have read the Child Protection Policy.If accepted, I understand that I will be required to raise funds with the help of my Local Director to cover expenses.My Parent/Guardian has read the Code of Conduct (if under 18)My Parent/Guardian agrees to the Code of Conduct (if under 18)My Parent/Guardian agrees for me to apply & participate if accepted (if under 18)
By clicking "Submit" below I understand that submission of this application does not grant acceptance into the CYIA Summer Missions program. Child Evangelism Fellowship of Indiana Incorporated (CEF of IN) has the sole right to accept or deny my application for any reason. I understand that once I submit this application, and if I am approved to serve as a Summer Missionary with CEF of IN, I am personally responsible to uphold the Code of Conduct which has been presented as well as follow any additional addendums present in the future which will support the ongoing operation and mission of CEF of IN. I agree and commit before God and man to maintain my service faithfully throughout the period of time as assigned by the Local Director in my area.

I understand 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 therin to provide information about me and I release them from all liability for damage in providing the information.

I certify that to the best of my knowledge all answers and information given on the application are true and correct.
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2024 CYIA Application

Personal Information

Education And Training

Spiritual Life

Share your heart:

Experience

References:

Minors

Travel Waiver for Minors

Doctrinal Protection Policy

Child Protection Policy

Photo / Video Release Authorization

CEF Statement of Faith