Assistant Missionary Application

Assistant Missionary Application

CEF of Wisconsin (an extension of Christian Youth in Action)
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone
Cell Phone
E-mail*
Best way to contact

EmailHome PhoneCell PhoneText
Birthdate*

MonthDayYear
Upload a Recent Picture of yourself*

Cancelof
Age
T-shirt size
Name of Parent/Guardian*

First Name(s)Last Name
Parent's Email
Parent's Phone
Emergency Contact
First and Last Name
Relationship
Home Phone
Cell Phone

References - Submit three references, one should be from a representative of your church.
Church you attend
Church Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Pastor/ Youth Leader Reference*
Pastor/Youth Leader's Phone Number
Pastor/Youth Leader's E-mail*
Reference #2 - Christian adult (not family member)*

First NameLast Name
Ref #2 Phone Number
Ref #2 E-mail*
====================================================
Name of Reference #3 - Christian adult - not a family member*

First NameLast Name
Ref #3 Phone Number
Ref #3 E-mail*
====================================================

You will be required to teach a minimum of two weeks or a total of six 5-Day Clubs. Do you agree?
Have you considered the sacrifices in being a summer missionary this summer?
Write a short paragraph about why you are choosing to be a summer missionary*
Have you applied to any other summer missionary program for this summer?
Local Chapter where you live*
Chapter
Approval Email
example@example.com

	Agree	Disagree
Respect one another, staff and adult leaders
Respect and comply with the schedule
Respect property
Participation with the group
No offensive or immodest clothing

CEF Policies