CYIA app

Summer Missionary MN Application
Thank you for considering being a summer missionary with Child Evangelism Fellowship! Christian Youth In Action (CYIA) is a 'home missions' experience giving you training you will use for your lifetime as well as the opportunity to take the Gospel to literally hundreds of children this summer.

Some important information to be aware of as you complete this application.

- CYIA requires your attendance for all the following dates: an April orientation (O1), a May 11th orientation (O2), the full training June 9th-20th, and teaching 5-Day Clubs/summer ministry a minimum of two weeks.

- The $650 CYIA fee covers all the training and materials needed for the summer. You will raise support to cover this fee and for your summer ministry following CEF's policy 'Ask God and Tell His people.' CEF staff will help you starting with sending out a letter at Orientation 1.

- Those interested and eligible to become employed must be 16 years or older, be teaching at a Bible-teacher level, and must commit to teaching a minimum of 3 weeks. Additional support raising will be needed to cover the additional costs. Check with your local CEF office for a estimated amount.

- Upon submission, an interview will be set with you and your parent(s)/guardian(s). At the interview, this application will be reviewed.

- The application MUST BE COMPLETED by April 15th. Contact your local CEF office and explain why your application was not submitted before the deadline and why you still desire to apply.

If you have questions along the way, contact your local CEF office.

This application will take some time to complete. The application is set up for you to save and return this year - however it is still recommended you gather what you can and plan for 30 to 60 minutes to fill everything out.

Have you gathered the following? Doing so will help you fill this application out more quickly. Consider putting your answers in a word document and copy and paste.
- - Phone numbers
- 2 or 3 numbers & email for parents/guardian
- 2 numbers for an emergency contact
- -Health info:
- Date of most recent Tetanus Booster shot
- Medications taken regularly
- Health insurance coverage (name, policy number)
- - Parent signature required for minors in the transportation and medical segments
- - References (name, address, phone, email) for:
- a pastor or church leader
- two other Christian adults (not relatives) who know you well
- - Questions for us to know you better:
- Favorite worship song
- Salvation testimony
- Spiritual growth in past year (Bible study, prayer life, etc)
- Ministry experience (church, youth, CEF, etc)
- - Paragraph or two (185 words) to be shared with family & friends telling what you are doing. (Sample letter) Consider answering the following questions
- - why you are applying
- - what you are looking forward to learning/experiencing
- - how they can specifically pray for you while at training and when teaching
- - how you plan to use this training beyond the summer
- - any scripture verse(s) that have helped you come to your decision to serve as a summer missionary
- - If returning missionary consider these questions also:
- - maybe include a story from your experience last summer
- - what impact CEF has had in your life
- - Prayer partner contact information (address, email) of 4 individuals if known now
- - Read/listen to CEF Statement of Faith, Worker's Compliance Agreement & Child Protection Policy (www.cefmn.org/volunteers/steps-to-serve)
- - Picture of your face that can be uploaded
Let's get started :)

Personal Information
Name*

(Legal) First NameMiddle Initial or NameLast Name
Gender*

MaleFemale
Nickname
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Student Cell Number
Student E-mail*
Confirm Student E-mail*
Birthday*

MonthDayYear
Current Age*
T-Shirt Size*
sizes run large
Area/Chapter serving with:*

Learning & Personality
Schooling*
Grade Completed as of June*
Have you previously had CEF summer training?*

NoYes
What CEF training have you had most recently?
In each of the twelve rows below, select the one best word that describes you.
Pick one per row (there are four words in each of the following rows - total of twelve words chosen)*
Note any behavioral, emotional and/or learning difficulties
Roommate request (name ONE person you would like to room with)
Are you interested in joining a worship team during CYIA training?
Any comments regarding worship.
Do you have any hobbies or interests that you want to share with others during a free time? (Ex: Bracelet making, introducing card games or board games, etc.)
If so, please explain what you are hoping to share.

Family
Parent/Guardian Name(s)*

First NameLast Name
Parent/Guardian Phone #1*
Phone #1*

HomeCellWork
Parent/Guardian Phone #2*
Phone #2*

HomeCellWork
Parent/Guardian Phone #3
Phone #3

HomeCellWork
Parent/Guardian E-mail*
Confirm Parent/Guardian E-mail*

Transportation
Transportation to and from CYIA training (June) is the responsibility of the individual student.

Carpooling with other students/families is encouraged.
Transportation during the summer (July & August) for 5-Day Clubs
Do you have a driver's license?

YesNo
Do you have use of a car?

YesNo
Do you know of anyone would could help with summer transportation (parents, adult friends, etc)?
Possible Driver #1
Name / Phone / Email
Possible Driver #2
Name / Phone / Email
Possible Driver #3
Name / Phone / Email
Annual Permission & Waiver For Minors (under 18 years of age)

The Child Evangelism Fellowship (CEF^®) USA Child Protection Policy states, “Even when ministry to children is not taking place, an additional adult or minor must be present when two workers are together and one is a minor, unless the minor’s parent or guardian has signed a waiver.”

I, the parent or legal guardian of my minor child,

grant permission and hereby waive the above requirement for my minor child and give my permission for him/her to serve and travel by reasonable and safe means with his/her teammate or any other screened worker or volunteer participating in the ministries of CEF, without the presence of an additional adult or minor. I understand that there may be occasions when my child may be traveling from location to location and/or serving in the company of only one adult of legal age.

agree and hereby do release and hold harmless Child Evangelism Fellowship and all adult supervisors, from and for any and all liability which may arise for damages, loss or injuries, either to person or property, which my child may sustain while engaged in the activity.
Parent/Guardian Signature

Clear

Medical
In case of emergency
Name of Emergency Contact*

First NameLast Name
Relationship to Student*
Phone Number #1*
Phone Number #2*
IN CASE OF EMERGENCY, I understand that every effort will be made to contact the parents or guardian of the student. In the event that a parent or guardian cannot be reached, I hereby give permission to a physician selected by the facility health supervisor to hospitalize, secure treatment for any illness or injury, take x-rays, give an injection, administer anesthesia, or perform surgery for the student as named in this application.
Parent/Guardian Signature*

Clear
Medical information
For the health and safety of all, we request that students with a communicable disease NOT be sent to training. We appreciate your cooperation and understanding in the matter of public health.
Last Tetanus Booster Date*

MonthDayYear
Do you wear contacts?*

NoYes
Prescribed medications taken regularly*
All medication must be kept in the original, labeled containers and turned in to the CYIA nurse upon arrival. Do NOT bring any over-the-counter that you do not take regularly as those are available at CYIA.

If you list any prescribed/regularly used medication, the CYIA nurse will send you a form to complete and bring with you prior to training.
Note any specific allergies*
Note any other health difficulties*
Insurance
Do you have health insurance coverage?*

YesNo
Health Insurance Company
Policy Number
I do not have medical insurance and will not hold Child Evangelism Fellowship and/or any of their departments, partnerships, churches, officers, volunteers, agents, employees, and affiliates responsible for covering any expenses incurred due to accident, injury, or illness.
Parent/Guardian Signature

Clear

Spiritual Life

And Church Reference
Church you attend*
Denomination
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Favorite Worship Song
Church Leader to be used as reference*

First NameLast Name
This person is your*

PastorYouth PastorYouth Leader
Church Leader's Phone*
Church Leader's E-mail*
Best way to contact your Church Leader

PhoneEmailText
A reference check will be conducted with three adults in your life.

1) your church leader listed above

2) two other Christian adult friends (outside your family) that you list below.
Reference 2
Reference 2 Name*

First NameLast Name
Reference 2 Address*

Street Address

Street Address Line 2

CityState

Zip Code
Reference 2 Phone*
Reference 2 E-mail*
Reference 3
Reference 3 Name*

First NameLast Name
Reference 3 Address*

Street Address

Street Address Line 2

CityState

Zip Code
Reference 3 Phone*
Reference 3 E-mail*

Testimony
This is not a text message, please be sure to use full words as you answer these questions in full sentences, even paragraphs!
Share your conversion experience (age, place, circumstances, hope of salvation based on, etc)*
Share your spiritual growth (Bible study, prayer life, etc) since your salvation*
Share your ministry experience (church, youth, CEF ministries, etc)*
For a letter sent to your family and friends if accepted to share what you are doing and invite them to support you through money and prayers:

         Why are you applying/choosing to be a summer missionary?

         What are you looking forward to learning and experiencing?

         What you want your family/friends to specifcially pray for you during training and teaching?

         If a returning missionary, you may choose to include a testimony
Answer in paragraph form your answer to the above questions*

0/185
How do you plan to use this training beyond this summer
What impact has CEF had in your life, personally, prior to this application
What Scripture verse(s) have helped you come to your decision to serve the Lord this summer

Prayer
Prayer is an important part of ministry. Should you be accepted, you will enlist four individuals (adults, outside your immediate family) to pray regularly for your ministry with CEF throughout the summer.

Think now about who you might contact to ask about being a prayer partner. You can list now if you know who these partners will be. If you don't yet know, you will be asked to list their name, email and address later.
How do you plan to communicate with your prayer partners (method, frequency, etc)*
Partner 1
Name

First NameLast Name
E-mail
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Partner 2
Name

First NameLast Name
E-mail
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Partner 3
Name

First NameLast Name
E-mail
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Partner 4
Name

First NameLast Name
E-mail
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Financial Policy
A simplified overview of the Summer Financial Policy – the complete policy will be shared with you at the interview.

Minimum Requirement – Summer missionaries (SM) will participate in the full Christian Youth In Action (CYIA) training.

After attending CYIA training, all SM’s must teach a minimum of two weeks (10 ‘days’ of 5Day Club), or other special events like local fair ministries or block parties during the summer.

Support Raising – All SM are required to compile a list of at least 30 people to whom they will send support letters.

Summer Ministry Fund – All SM are to raise support for the Summer Ministry Fund.

In Case of Insufficient Funds – If a SM does not raise adequate support to cover the cost of training ($650), the SM will be responsible to pay the shortfall.

Surplus Financial Gifts – Any gifts that exceed the amount needed for the SM’s expenses will remain in the Summer Ministry Fund, undesignated, to help defray the overall costs of summer ministry. Funds will not be carried over in individual accounts to the next year.
Number of weeks you plan to teach after CYIA Training*
As a Summer Missionary, I: (choose one below)*

Commit to teaching my planned weeks as a volunteerDesire to become employed with CEF this summer but understand that I am first a volunteer. I understand my responsibility to raise the majority of my needed wages according to the availability calendar that I provide. (If you raise the necessary funds prior to your first week of teaching you will become eligible for employment.)
Employment Forms

Required for all students 14 years (or if turning 14 this summer) and older

At your interview, these forms will be completed with necessary ID, numbers and signatures

     W-4 - completed annually

     I-9 - once in your CEF summer missionary career

I promise that the information I have included with this application is accurate to the best of my knowledge.

I realize that this application will be reviewed and an interview conducted to determine my participation in the CYIA program this summer. During that interview, this application will be reviewed and signatures obtained to state that all the information is correct as best I know it.
Signature*

Clear
Today's Date

MonthDayYear
Date
Thank you for partnering in mission

www.cefmn.org
Should be Empty:

Summer Missionary MN Application

Let's get started :)

Personal Information

Learning & Personality

Family

Transportation

Medical

In case of emergency

Medical information

Insurance

Spiritual Life

Reference 2

Reference 3

Testimony

Prayer

Financial Policy

Commitments

Thank you for partnering in mission