2025 Christian Youth In Action Application (18 and Over)

Full Name

Gender

Male Female

Name you prefer to be called (for nametag)

Grade of school just completed

Age (at CYIA)

Birthdate

This address will receive a confirmation email

Address

Phone

Name of parents/guardians

Parent/guardian email

Address (if different)

Phone

CYIA level you are entering

Why do you want to attend CYIA?

Have you ever led someone to Christ?

Yes No

If yes, when and where?

Does your church plan to use you in any kind of ministry this summer?

Yes No

If yes, please describe.

Are you able to speak another language fluently?

Yes No

If yes, what language(s)?

Do you have any physical problems that may hinder your ability to serve in CYIA?

Yes No

If yes, please explain.

Have you used tobacco in any form?

Yes No

Have you drunk alcoholic beverages?

Yes No

Have you abused drugs in any form?

Yes No

CYIA Teachers Agreement

1. I will follow orders of those in authority over me.
2. I have read and understand the CYIA Dress Code and Code of Conduct and I am willing to cheerfully conform to these standards.
3. I commit to attending the entire week-long training school.
4. I have enlisted at least two people to be my prayer partners for my ministry while involved in CYIA.
5. I will work in at least three 5-Day Clubs (or two 5-Day Clubs and another ministry that is the equivalent of teaching in a 5-Day Club as approved by my local director) this summer following the CYIA training school.
6. I will commit to any additional requirements made by my local church or CEF chapter (as defined by my local director).

Please click here to read the Code of Conduct and Dress Code.

I have read and agree to cheerfully conform to the CYIA Teachers Agreement, Code of Conduct, and Dress Code.

Yes

Signature (NOTE: On electronic forms, your typed signature carries the same weight as your written signature.)

Today's date

Photo Release: Child Evangelism Fellowship® may, from time to time, document the activities of the ministry with photos or videos. I hereby assign and grant to Child Evangelism Fellowship Inc., its subsidiaries and successors, and assign the unqualified right to the ownership, use and proceeds of all photographs or video of me or my minor child, without reservation or limitation, including use of photographs or video of me or my minor child for, but not limited to, advertising, educational and promotional purposes.

Signature

Today's date

Medical Form: Please click here to fill out the medical form (have your insurance information ready).

I have completed the medical form.

Yes

Online Screening Application

Please complete the following before you proceed:

1. Read the CEF Statement of Faith.

2. Read the Ministry Compliance Agreement.

3. Read the Child Protection Policy.

4. Watch the 11-minute Protecting Today's Child presentation OR listen at 1-866-878-4182.

5. Gather the following information to enter:
Your salvation testimony
Reference contact information (name, phone, email). This should include your pastor, youth pastor, or church leader, and two personal references. No relatives, please.
Previous addresses (last 5 years)
Social Security Number

6. Complete the online screening application. This will take approximately 15 minutes. (Note: The system will time out after 10 minutes of no activity, and you must complete the form within 40 minutes.)

I have read the Statement of Faith and Ministry Compliance Agreement.

Yes

I have read the Child Protection Policy and viewed the Protecting Today's Child presentation.

Yes

I have completed the online screening application.

Yes

Music Ministry Interest Form (Optional)

Are you interested in participating in any of the following for Music Ministry at CYIA? (Must be Level 2 or higher.) Vocals Guitar Keyboard Drums Other Instrument Special Music/Other Talent

2025 Christian Youth In Action Application (18 and Over) - Benton

Description

2025 Christian Youth In Action Application (18 and Over) - Benton

Description

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