Christian Youth in Action® (CYIA™) Interest Form
Let us know of your interest in being involved with CEF® this summer!
Applicant Name
*
First Name
Last Name
Applicant Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Applicant Age
*
Please Select
12
13
14
15
16
17
18+
Applicant Gender
*
Male
Female
Applicant Email
*
IMPORTANT: All Future Forms Will be Sent to This Email
Applicant Phone Number
*
Please enter a valid phone number.
T-Shirt Size
*
S
M
LG
XL
2XL
3XL
4XL
Parent's Name
*
First Name
Last Name
Parent's Email
*
example@example.com
Parent's Phone Number
*
Please enter a valid phone number.
Back
Next
Which chapter do you want to be involved in?
*
Please Select
Armstrong–Indiana–Westmoreland
Beaver
Berks
Bucks-Mont
Butler–Mercer–Lawrence
Cambria
Centre Region
Delaware
Franklin–Fulton
Greater Lehigh Valley
Greater Pittsburgh
Jefferson–Elk–Clearfield
Lancaster
Lycoming
Mifflin–Juniata–Perry
Philadelphia
Schuylkill
South Central
Southwest
Venango–Forest–Clarion
What Chapter am I in?
Chapter Phone Number
Chapter Email
example@example.com
Director Name
Committee Chair Name
Committee Chair Email
example@example.com
Committee Secretary Name
Committee Secretary Email
example@example.com
Chapter EIN #
Chapter Address
Choose the program(s) you're interested in.
*
5-Day Club®
World Cup Soccer Party Club
Camp Good News®
I'm not sure, but I know I would like to work with CEF!
All of these programs have a mandatory training. By choosing to help at one (or more) of these programs, you are committing to attend the necessary training.
*
I understand
Select the weeks you are available after checking your family vacation schedule. Contact your chapter to learn what is happening on what weeks.
*
June 13-19 (Training School)
June 22-26
June 29-July 3
July 6-10
July 13-17
July 20-24
July 27-31
August 3-7
August 10-14
Which position would you like to apply for?
*
Volunteer
Employee
I would like to discuss this
You have selected employee. This means you will be required to attain all necessary clearances. If you are hired, all clearances must be submitted to CEF by May 15.
*
I understand
Have you been a CEF employee in the past 2 years?
*
Yes
No
Has any of this information CHANGED in the past year (Check all the apply)?
*
Address
W4 Information
Bank Information
Medical Information
Nothing has changed
Back
Next
Did you serve with CEF in 2025?
*
Yes
No
Was your involvement volunteer or paid staff?
*
Volunteer
Paid Employee
Because you have not worked or volunteered with CEF in 2025, you will need to be interviewed. Please list your general availability. (e.g. Nights, Weekends, Afterschool)
*
Any questions, comments, or concerns?
Please make sure that you periodically check your SPAM/junk folder as next steps may end up there.
Submit
Should be Empty: