CYIA™ Application

Save & Return

Save your progress and complete this form later. (optional)

Take special care to save your sign in and password as it is not recoverable.

Personal Information

Date * +

Social Security Number *

First Name *

Middle Initial *

Last Name *

Present Address *

City *

State *

Zip Code *

Home Phone *

Cell Phone *

Email Address *

Age *

Date of Birth * +

Will you be 14 years of age or older by June 1 of this year? *

Yes

No

If you are under 18 years of age by June 1 and employed by CEF for the summer, can you provide a work permit? *

Yes

No

How did you become interested in Child Evangelism Fellowship? *

Present Occupation *

Tee shirts will be worn at training school. Indicate size by circling a size option that is listed below. *

Emergency Contact

First Name(s) *

Last Name *

Address *

Relationship *

Cell Phone *

Home/Work Phone *

Personal Testimony

Type out your testimony and explain the scriptural basis for your salvation, when and where you were saved, other Christian experiences and why you are interested in working as a summer missionary with CEF. *

Record of Education

	Name and Address of School	Course of Study	Last Year Completed	Did You Graduate	List Diploma or Degree
Elementary	Name and Address of School	Course of Study	Last Year Completed	Did You Graduate	List Diploma or Degree
High School	Name and Address of School	Course of Study	Last Year Completed	Did You Graduate	List Diploma or Degree
College	Name and Address of School	Course of Study	Last Year Completed	Did You Graduate	List Diploma or Degree
Other (Specify)	Name and Address of School	Course of Study	Last Year Completed	Did You Graduate	List Diploma or Degree

Employment, Beginning With Your Most Recent

	Name and Address of Employer	Phone	Dates Worked	Position	Reason for Leaving
1	Name and Address of Employer	Phone	Dates Worked	Position	Reason for Leaving
2	Name and Address of Employer	Phone	Dates Worked	Position	Reason for Leaving
3	Name and Address of Employer	Phone	Dates Worked	Position	Reason for Leaving
4	Name and Address of Employer	Phone	Dates Worked	Position	Reason for Leaving

References

List your church first, then your pastor or other church leader, followed by others who know you well and will not mind being contacted by CEF (not a relative or previous employer)

Pastor/Church Leader

Church Name *

Name *

Address *

Phone *

Email Address *

CEF Worker/Adult Friend

Name *

Phone *

Address *

Email Address *

Christian/Adult

Name *

Phone *

Address *

Email Address *

Christian Recommendations

Church Affiliation *

Location *

Can you conscientiously sign the enclosed Doctrinal Protection Policy? *

Yes

No

Do you believe that one can have the assurance of his salvation? *

Yes

No

Employment Policy

I understand and acknowlege that, unless otherwise defined by applicable law. Child Evangelism Fellowship of ___________, 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 _____________, 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.

Signature (parent/guardian signature if participant is under 18) *

Date * +

Permission Form For Pictures

I give permission for my voice and/or image to be used for promotional and publicity purposes.

Student's Signature *

Parent's Signature *

CEF IS AN EQUAL OPPORTUNITY EMPLOYER

We consider applicants for all positions without regard to color, gender, national origin, disability or veteran status.