Christian Youth In Action 2017
Child Evangelism Fellowship of Tennessee

View the 2017 CYIA Terms and Conditons


First Name
Last Names
Date of Birth
Street Address
Cell Phone
Home Phone
School You Attend
Church You Attend
Are currently a citizen of the U.S.?
Is English your first language?
Have you ever been convicted of a crime?
Have you ever been accused of child abuse?
Do you have a valid driver's license?
Do you have transportation?
Tell us a little about you:
Testimony of Salvation
0 /
Experience working with Children
0 /
Reason for Applying
0 /
Spiritual Growth Practices
0 /
Other Activities *
0 /
Pastor'First /Last Name
PhoneBest Contact Number
Teacher or MentorFirst/Last Name
PhoneBest Contact Number
Personal ReferenceFirst/Last Name
PhoneBest Contact Number
If under 18 years of age:

Please note that your Parent/Guardian will be contacted regarding their willingness to grant permission for your participation. They will be asked if they have reviewed the Terms & Conditions provided and are in agreement with, you the applicant, as well their own compliance as presented.

Parent/Guardian Name
Parent/Guardian Phone

The following requirements must be agreed to and completed before May 1st.

Requirement ChecklistMark the boxes that you have completed

You can view the Child Protection Video Presentation HERE  

By clicking "Submit" below I understand that submission of this application does not grant acceptance into the CYIA Summer Missions program.  Child Evangelism Fellowship of Tennessee Incorporated (CEF of Tennessee) has the sole right to accept or deny my applicant for any reason. I understand that once I submit this application, and if I am approved to serve as a Summer Missionary with CEF of Tennessee, I am personally responsible to uphold all the Terms & Conditions which have been presented as well as follow any additional addendums present in the future which will support the ongoingoperation and mission of CEF of Tennessee. I agree and commit before God and man to maintain my service faithfully throughout the period of time as assigned by the Local Director in my area.

CEF of Tennessee - PO Box 12523 Murfreesboro, TN 37129 - (615) 244-2475