2025 CYIA Registration Form

Before filling out the application, please review the applicant requirements below.

Applicant Requirements

Age: All participants must be at least thirteen (13) years of age (unless approved by local coordinator/director), on or before the beginning of the CYIA Training School.

All participants must have been a professing Christian for at least one year, and be mature and experienced sufficiently to perform without problems.

Attitudes: All participants must be able to sign all documents during their interview, including but not limited to our CEF Statement of Faith, the Doctrinal Protection Policy, Sexual Morality Policy, and all screening documents.

All participants must agree to follow and abide by all policies and leadership of Child Evangelism Fellowship.

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Being a CYIA Summer Missionary means hard work. You must be willing to learn and study your lessons with excellence, and to accept constructive criticism from your leaders.

This summer will be rewarding, but you must also pray and consider the hard work and sacrifices you will face in accepting your task as a CYIA Missionary.

While attending the CYIA training, you must agree to abide by regulations set forth in the standards of conduct, dress code, and to conform to its fundamental standards of honor. Please be aware that CEF may request the withdrawal of any trainee who, in the opinion of the staff, does not abide by the regulations set forth.

CYIA Applicant

I am applying for

Summer Missionary Assistant (SMA), Local training only Summer Ministry Leadership Program (CYIA), full training

Full Name

Preferred Name/Nickname

Gender

Male Female

Birthdate

School

Permanent Address

Home Phone

This address will receive a confirmation email

Applicant's Email or Parent/Guardian's?

Applicant's Parent/Guardian's

Cell Phone

Applicant's Cell Phone or Parent/Guardian's?

Applicant's Parent/Guardian's

Are you authorized to work in the United States?

Yes No

T-Shirt Size

Parent/Guardian Contact Information

Parent/Guardian 1's Name

Parent/Guardian 1's Cell Phone

Parent/Guardian 1's Work Phone

Parent/Guardian 1's Email

Parent/Guardian 2's Name

Parent/Guardian 2's Cell Phone

Parent/Guardian 2's Work Phone

Parent/Guardian 2's Email

Learning Information

How do you do your schooling? Public School Private School Home School Other

Tell us a little about how you learn best? What gets you excited for learning and what parts do you dread?

Do you feel that you have any learning challenges? How can we support you best to make sure you can be successful at training?

Scheduling

Please know that if you sign-up for these weeks and times to teach, you are expected to fulfill your commitment. Repeatedly missing clubs or changing your schedule without adequate warning can result in being asked to no longer participate in the CYIA program.

Required Dates:

June 5-12 CYIA Training Camp (CYIAers Required)

Summer missionaries have the option of being volunteers or paid employees. All paid employees are required to raise their personal support with the assistance of their local staff. Do you plan to be a paid missionary, or volunteer?

Paid Missionary Volunteer Missionary

References

Church Name

Pastor's Name

Church Address

Pastor's Phone

Pastor's Email

Second Reference
This person should be an adult who is not related to you that has the best knowledge of who you are and what your spiritual life has looked like up until now.

Name

Relationship

Phone

Address

Christian Youth in Action® Code of Conduct

The following rules are designed to help us live well in a close community setting while at Training. At all times conduct should put others first and bring honor and glory to the Lord Jesus Christ. Failure to adhere to the Code of Conduct may result in disciplinary action, including being sent home from Christian Youth In Action® Training if needed.

The following attitudes should be representative of your words and actions:

Respect for authority and those living in proximity to you.

Punctuality related to classes, meals, practice times, etc.

Cleanliness both in your living space and related to the grounds in general.

Honesty in your conversations and interactions with others.

Diligence both in your quiet time and in your studies.

The following specific rules should also be followed:

Dress code: The dress code must always be followed. Anyone in a leadership position can ask you to change if needed. See your local staff member if you have questions about what is acceptable.

Housing: Each person is responsible to keep his or her belongings neatly organized. Routine room checks will take place. The personal belongings of other students are off-limits. Valuables should be kept on your person. We cannot be responsible for missing property. Guys are not allowed in girls’ dorms and vice versa.

Classes: Everyone is expected to attend all sessions unless granted permission by the Director of Training to miss a class. Please bring all materials with you to class. Tardiness is not allowed.

Study times: This time is to be spent studying and doing assignments. Be sure that your method of studying does not cause a distraction to those around you.

Grounds: Do not leave the grounds except for supervised activities. When going to a 5-Day Club® or open-air ministry (if included in Training), you will be assigned a car and driver. You must remain in the same vehicle.

Relationships: Friendships with students of the opposite sex are beneficial for social, spiritual, and leadership development. Therefore, you may talk, walk, sit, and eat with members of the opposite sex, but at no time will any “pairing-off” with them be acceptable. If you come with an established relationship, you may spend time together if the other rules are followed and you stay in public together.

Electronics: Cell phones and personal music players are only allowed during free time in the afternoon and evening. You must get permission before listening to music as you study.

Medications: All prescription drugs are to be kept by the nurse. You will be responsible for getting your medicine from the nurse at the designated times.

Name tags: Always wear your name tag (except during recreation).

Following these rules will help our time at Training to go as smoothly as possible for everyone.

CYIA Training Participant Agreement

By signing below, I indicate:

All the information entered here is true and correct, to the best of my knowledge, and that

I will abide by the above Applicant Requirements, and that

I will honor the time commitments indicated above to the best of my ability, and that

I will abide by the policies of CEF as long as I am actively involved.

I have read and understood the CYIA Code of Conduct. I agree to follow this Code as I particiapte at CYIA and in other CEF activities.

If you have a question about a specific policy or to see a complete copy of all policies, contact your director.

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

Applicant Signature

Date of CYIA Application (annual)

Parental Release

I, the undersigned parent, hereby release discharge, indemnify, hold harmless, and defend CEF of Iowa, its officers, employees, and servants from any and all liability (claims, demands, losses, causes of action, suits, judgments) of any kind that I or my family may have against District due to death, personal injury or illness, loss or damage to property, or future causes that occur during the CEF OF IOWA TRAINING. In the event of any medical emergency, I authorize and consent to act on my behalf for medical care deemed necessary for the participant.

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

Parent's Signature

Date

2025 CYIA Registration Form

Description

Please Fix the Following