CYIA Application Please complete the full application to be considered. 1 Start 2 Preview 3 Complete First Name Middle Initial Last Name Street Address City State and Zip Code Phone Number Alternate Phone Number Are You A Citizen of the United States? * Yes No If No, are you authorized to work in the United States? Yes No Have you ever worked for this ministry? Yes No If So, When? Have you ever been convicted of a felony? Yes No Are you over 13? Yes No Are your parents/guardians in agreement with you working with CEF? Yes No Education Middle School Name Middle School Address Dates Attended Middle School Did you graduate Middle School? Yes No Not Yet High School Name High School Address Dates Attended High School Did you graduate High School? Yes No Not Yet Last Grade Completed College Name College Address Dates Attended College Did you graduate? Yes No Not Yet Degree References Please list six professional references. Possible References (involved in your life in the last 6 months) Christian Leader References: Pastor, Youth Pastor, SS Teacher, Small Group Leader, Christian School Employee, CEF worker, AWANA leader, Young Life/Wild Life leader, FCA (Fellowship of Christian Athletes) leader, Generation Next, etc. Christian Reference One Name * Church/Ministry Position Address City * State * Zip Code * Email Address Phone Christian Reference Two Name * Church/Ministry Position Address City * State * Zip Code * Email Address Phone Other References: Best friend parent, Neighbor, Adult from your church, public school employee, sports/cheer coach, piano/instrument teacher, fine arts teacher (dance, art, etc), 4-H Leader, someone you babysit for, other Christian Leader reference not listed, etc. Reference 3 Full Name * Relationship Address City * State * Zip Code * Email Address Phone Number Reference 4 Full Name * Relationship Address City * State * Zip Code * Email Address Phone Number Reference 5 Full Name * Relationship Address City * State * Zip Code * Email Address Phone Number Reference 6 Full Name * Relationship Address City * State * Zip Code * Email Address Phone Number Experience Present Occupation If yes, please explain: Describe any training and experience you've had with Child Evangelism Fellowship Have you served as a CEF Summer Missionary? Yes No If yes, what was the Director's Name and Address? Please describe any experience working with children. Have you been used to lead a child to Christ? Yes No Describe Ministry Have you duly considered the sacrifices involved in being a summer missionary? Yes No Have you applied to any other summer missionary programs? Yes No If yes, please give the name(s) How do you expect to cover your expenses this summer? Are you willing to work under the direction of missionaries and to accept and perform assignments cheerfully? Yes No For what period of time would you be available? (Give specific months and dates) Spiritual Life Give approximate date of conversion. Age at Conversion Are you involved in your local church? Yes No Describe your involvement Please write a biographical sketch describing your Christian experience. Be sure to include the following: The basis of your salvation. (Give scripture references.) Your spiritual growth since conversion. Your practices in prayer, Bible study, Church attendance, fellowship, and witnessing. Your Christian service. Your purpose for applying to the CYIA program. Your information Are you in agreement with the "Statement of Faith" and "Doctrinal Protection Policy" of Child Evangelism Fellowship? Yes No Are you willing to be involved in a ministry which may mean working with denominations other than your own, but which are in agreement with the Child Evangelism Fellowship "Statement of Faith"? Yes No Military Service Branch Dates of Service Rank at Discharge Type of Discharge If other than honorable, please explain. Please feel free to give further details not covered by this application. Disclaimer and Signature Employment Policy I understand and acknowledge that, unless otherwise defined by applicable law, Child Evangelism Fellowship of WV Inc.,. follows an "employment at will" policy, in that any employment is for an indefinite period and may be terminated by either the employee or the employer at any time, with or without notice and with or without cause. It is further understood that this "at will" relationship may not be changed by any written document or by conduct unless such change is approved by the State Board of Child Evangelism Fellowship of WV Inc., and acknowledged in writing by the chairman of this organization. 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. I certify that to the best of my knowledge all answers and information given on this application are true and correct. By typing my name below, I certify that I have read, fully understand and accept all terms of the foregoing Employment Policy. Type Name in Lieu of Signature Date
