Christian Youth In Action South Dakota Training School Summer Missions Application

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1 Christian Youth In Action South Dakota Training School Summer Missions Application Application Instructions: Check when completed. 1. Complete the application completely. Signing the appropriate forms as needed. Application Medical Release Statement of Faith Authorization for Background Screen and Reference check (can be done online or complete the paperwork enclosed 2. Distribute the included reference forms, your application can not be processed until we have the references. Your pastor Your youth leader Another adult who knows you well 3. Submit a $25.00 deposit with your application: Make checks to CEF of SD (This is part of your $300.00) 4. Read all the following policy forms. Statement of Faith/Doctrinal Protection Policy Child Protection Policy 5. Set up a time for your director to meet with you and your parents to go over the summer plan. 6. Send a recent electronic photo (head and shoulders) of yourself to Glenda at glenda.palmquist@cefsd.org 7. A check for the balance $ can be paid in advance or on the first day of Christian Youth in Action. 8. Applications are due by March 31, 2017 for consideration for a paid position. Applications for a volunteer position is April 15, If you have missed the April 15 deadline for a volunteer position please contact the state office at or us. 9. CYIA is held at Byron Bible Camp June 4-10 Please submit all forms to: Child Evangelism Fellowship of SD, Inc PO Box 627 Huron, SD Paul Rowenhorst: paul.rowenhorst@cefsd.org Glenda Palmquist: glenda.palmquist@cefsd.org

2 CEF of SD Christian Youth In Action Training School Code of Conduct and Dress Code General Standards of Conduct As young people serving the LORD, we are responsible in our relationship with our: Teammates Children whom you teach CYIA Staff members The CEF organization Host families where you teach or stay Your church Our appearance, dress, conversation and action will either help or hinder the cause of Christ and the message we want to bring. At all times conduct should be such that would bring honor and glory to the Lord Jesus Christ. Bringing reproach to the name of Christ, or failure to adhere to the CYIA Dress Code of Conduct may result in being sent home from the CYIA Training School. 1. Attendance: You are expected to attend all sessions unless granted permission by the Director of the CYIA Training School or nurse. Anyone who has to miss more than one day of training, may be required to go home. All prescription drugs are to be kept by the nurse. You will be responsible to get your medicine from them at the designated time. 2. Nametags: Please wear our name tag to all meals, sessions, and while out during ministry. 3. Dorms: Each person is responsible to keep his/her belongings in proper order in the dorms. Personal area should be kept neat and free of clutter. Do not lock the door. Others belongings are off limits. There will be nobody of the opposite sex in the other sex s dorms. 4. Meal times: Each student must be present and remain at the table until dismissed. 5. Grounds: Please keep all garbage where it belongs. Do not leave the grounds except for supervised activities. 6. Phones: Incoming messages, call Paul Rowenhorst: (605) , Glenda Palmquist: (605) Byron Bible Camp: (605) Electronic devices: You are entering an Electronic Device Free Zone Radios, clock radios, all forms of electronic devices (IPods, IPads, MP3s, games, cell phones, laptop computers, etc). Please keep these at home. If they are brought to CYIA Training School they will be collected and returned the last day after cleaning is completed. 8. Relationships: Friendships with Christians of the opposite gender are beneficial in social, spiritual, and leadership development. Therefore, you may talk, walk, sit, and dine with them at appropriate times. One should refrain from making boy/girl relationships while at CYIA Training School, this is a time to focus on God and being trained to reach children for Christ. 9. Service: We will be cleaning the camp before we leave on the last day; it is our service to the camp. A joyful heart, willing attitude and many workers will make this task go quickly. Keeping things picked up each day will make the job easier. 10. Mail: You may send and receive mail. The mailing address is as follows: [Student Name]-CYIA Byron Bible Camp South Shore Rd Huron, SD CYIA Dress Code For Campus, Classroom and Ministry: Bring Clothing that is neat, clean, and in reasonably good condition. Students may not wear Clothing that is too tight (form fitting) or that exposes midriffs, backs, undergarments, revealing necklines, etc. Pants with low waist lines. Pants shall not extend below the heel of the shoe. Clothing with writing, slogans, pictures or symbols that are objectionable. No visible piercings other than earlobes, Men-no earrings. Tattoos need to be covered. Rule of thumb: Dress or shirt sleeves should come to the outer edge of the shoulder. The bottom of dresses, skirts or pants should be below the knee. For girls a modest, one-piece swimsuit For Recreation and Free Time: Sweats and shorts are allowed only during recreation. Shorts must have at least a 6 inch inseam. If you have any questions, be sure to ask your CEF Director or staff member before you pack to come to CYIA Training School. Do not bring any clothing not permitted by the above instructions.

3 Christian Youth In Action South Dakota Training School Registration Form CEF of SD PO Box 627 Huron, SD Phone: Full Name Age Male Female Birthdate T-shirt size Address Home Telephone ( ) Cell City State Zip Name by which you prefer to be called (for your name tag) Grade of school (entering) Name of Parents or Guardian Parent s cell phone Address (if different) City Zip Why you want to attend CYIA? Have you ever led someone to Christ? When/Where? Does your church plan to use you in any kind of ministry this summer? If so what kind? Do you have any physical problems that would hinder your ability to serve as a CYIAer? If so, please explain briefly: Are you able to speak another language fluently? If so, what language? I have read the CYIA Teachers Agreement, Code of Conduct and Dress Code and I am willing to cheerfully conform to it. 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 will commit to attending the week-long Training School. 4. I have enlisted at least two people to be Prayer Partners for my ministry while involved in Christian Youth in Action. 5. I will work in at least three 5-Day Clubs, this summer following CYIA Training School. 6. I will commit to the additional requirements made by my local church or CEF chapter (as defined by your local director). Photo Release: 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 and videos of me, without reservation or limitation, including the use of photographs of me for advertising and promotional purposes. Applicant Signature Date Transportation Release: I hereby release my child, named above to be transported to and from ministry locations during the Christian Youth In Action Training Week and subsequent summer ministries. Parent or Guardian s Signature Date (if applicant is under 18 years of age)

4 Personal History: Please answer the following questions carefully and truthfully. Failure to do so may result in denial of your application or dismissal from summer ministry. If you were involved in any of these areas, please provide a detailed explanation. Note: answering yes will not result in automatic disqualification for ministry. Have you ever: Yes No Yes No Been involved with tobacco products? Had an eating disorder? Been involved with alcohol? Been involved with illegal drugs? Been involved with gang-related activities? Been suspended/expelled from school? Served time in a detention center or jail Been convicted of a crime? Been arrested or convicted of child abuse? Been involved in a cult or the occult? If you answered yes to any of the above give a complete explanation below. Had professional counseling? Taken depression or behavioral medications? Been sexually active within the last year? Been pregnant or fathered a child? Been involved in homosexual activities? Intentionally inflicted harm on yourself? Attempted suicide? Looked at pornography in the last year Biographical Information: New Students only 1. Briefly tell us how and when you became a Christian and about your present growth in Christ. Please include the following: Please attach on separate piece of paper. New students only. The basis of your salvation-include Scriptural references Your practices in prayer and personal devotions. 2. Discuss your background of ministry experiences in church, para-church, and volunteer organizations. Please include description of ministry to children. 3. Please explain how and why God is calling you to do summer missions 4. List and explain three of your strengths and three of your weaknesses. 5. Describe any involvement with CEF and include when. Returning students 1. Please explain how and why God is calling you to do summer missions with CEF. Include how you believe doing summer missions can help you reach your goals. 2. List and explain three of your strengths and three of your weaknesses. Paid summer missionaries only (please answer these questions) Working for Child Evangelism Fellowship is a big responsibility. We want to hire the best students who love the Lord, are hard-working students, and can handle extra responsibility. Interviews will be held at the State Board or local committee meeting (date to be determined.) Anyone can come interview, but you must have submitted your Christian Youth in Action (CYIA) application to the State Office before March 31, You also must complete these additional questions. 1. Why do you want to work as a summer missionary for CEF of SD? 2. What special skills do you bring to this position?

5 CHILD EVANGELISM FELLOWSHIP REFERENCE Pastor or Church Leader Applicant's Full Name: The applicant has applied to Child Evangelism Fellowship and has listed you as a reference. A personal recommendation provides insight into a person that would be very helpful in determining his/her ability to perform responsibilities which include, but are not limited to, the following: Sharing the Gospel message and counseling for salvation and Christian growth; teaching a Bible verse; teaching a Bible Lesson; presenting missions. With these specific responsibilities in mind, please be candid and objective as you complete this form. How long have you known the applicant? In what relationship? How well do you know the applicant? (Circle one) Casually Well Very Well Is there any reason(s) known to you why the applicant should not/could not work with children? (Circle one) Yes No If yes, please comment Applicant's relationship with others is generally (Circle one) Poor Fair Good Very Good What is the applicant's attitude toward authority? (Circle one) Poor Fair Good Excellent What are the applicant's strong points? What are the applicant's weaknesses or limitations? How teachable is the applicant? Poor Fair Good Very Good Excellent What is the applicant's general outlook on life? (Circle one) Pessimistic Optimistic Unknown Has the applicant been active in the church? If so, in what capacities? In what aspect(s) of ministry have you personally observed this applicant? Does the applicant work well with others? (Circle one) Yes No If no, please comment Are you aware of any unbiblical sexual tendency in the applicant? (Circle one) Yes No If yes, please comment How do you rate the applicant's leadership ability? (Circle one) Fair Good Very Good Excellent What is the applicant's work ethic? Are they dependable? (Circle one) No Sometimes Usually Yes How would you rate the applicant's standards for Christian living? (Circle one) Poor Fair Good Very Good Excellent How do you rate this applicant's potential for children s ministry? (Circle one) Average Good Superior Would you recommend that we accept this applicant? (Circle one) No Questionable Yes Name: Position: Date: Christian Youth In Action is a ministry of Child Evangelism Fellowship of SD. Please return this form to CEF *PO Box 627* Huron, SD 57350

6 Christian Youth In Action Reference Form Youth Leader Applicant s Full Name: The applicant has applied for admission to the Child Evangelism Fellowship Christian Youth In Action training program and has requested that you give a recommendation. A personal recommendation gives insight into a person that would be very helpful in determining the student s ability to handle a seven day, full program of various training classes, teaching a 5-Day Club each afternoon and open-air ministry, as well as handling relationships outside of the classroom. Please be candid and objective. How long have you known the applicant? In what relationship? How well do you know the applicant? (Circle one) Casually Well Very Well Is there any reason know to you why the applicant should not work with children? (Circle one) No Yes If yes, please comment: Applicant s relationship with others generally (Circle one) Poor Fair Good Very Good Excellent What is the applicant s attitude toward authority? (Circle one) Poor Fair Good Very Good Excellent When asked to follow directions from God-ordained authorities, this applicant generally responds with: (circle one) Respectful obedience Outward compliance with negative attitude Willful noncompliance. What is the applicant s general outlook? (Circle one) Negative Negative/Positive Positive/Negative Positive Has the applicant been active in the church? If so, in what capacities? Does the applicant work well with others? (Circle one) If no, please comment: How teachable is the applicant? (Circle one) Poor Fair Good Very Good Excellent Please comment: Is the applicant dependable? (Circle one) No Sometimes Usually Yes How would you rate the applicant s standards for Christian living? (Circle one) Poor Fair Good Very Good Excellent Would you recommend that we accept this applicant? (Circle one) Yes Questionable No Further Comments: Name: Position: Date: Christian Youth In Action is a ministry of Child Evangelism Fellowship of SD. Please return this form to CEF *PO Box 627* Huron, SD 57350

7 Christian Youth In Action Reference Form Mature Christian Friend Applicant s Full Name: The applicant has applied for admission to the Child Evangelism Fellowship Christian Youth In Action training program and has requested that you give a recommendation. A personal recommendation gives insight into a person that would be very helpful in determining the student s ability to handle a seven day, full program of various training classes, teaching a 5-Day Club each afternoon and open-air ministry, as well as handling relationships outside of the classroom. Please be candid and objective. How long have you known the applicant? In what relationship? How well do you know the applicant? (Circle one) Casually Well Very Well Is there any reason know to you why the applicant should not work with children? (Circle one) No Yes If yes, please comment: Applicant s relationship with others generally (Circle one) Poor Fair Good Very Good Excellent What is the applicant s attitude toward authority? (Circle one) Poor Fair Good Very Good Excellent When asked to follow directions from God-ordained authorities, this applicant generally responds with: (circle one) Respectful obedience Outward compliance with negative attitude Willful noncompliance. What is the applicant s general outlook? (Circle one) Negative Negative/Positive Positive/Negative Positive Has the applicant been active in the church? If so, in what capacities? Does the applicant work well with others? (Circle one) If no, please comment: How teachable is the applicant? (Circle one) Poor Fair Good Very Good Excellent Please comment: Is the applicant dependable? (Circle one) No Sometimes Usually Yes How would you rate the applicant s standards for Christian living? (Circle one) Poor Fair Good Very Good Excellent Would you recommend that we accept this applicant? (Circle one) Yes Questionable No Further Comments: Name: Position: Date: Christian Youth In Action is a ministry of Child Evangelism Fellowship of SD. Please return this form to CEF *PO Box 627* Huron, SD 57350

8 Christian Youth In Action Medical Questionnaire (to be filled out by parent or guardian, if applicant is under 18) Name of Applicant Age Date Medical Coverage for Applicant: Name of Insurance Company Policy # Address of Company Is the applicant subject to: Yes No Has the applicant had: Yes No Asthma Hay Fever Epilepsy Food Allergies List: Allergies to medications List: Other allergies (flowers, grasses, etc.) Chicken Pox Rheumatic Fever Mumps Rubella (German Measles) Serious reaction to bee sting Date of last tetanus shot: Does the applicant have: (Circle answer) Diabetes Yes Hypoglycemia. Yes Is the applicant on a special diet Yes No No No If so, what is it? Has the applicant had any illness requiring a visit to the doctor in the last 3 months?. Yes No If so, what was the health problem? Please send prescription drugs in original container with proper dosage and usage inscribed. Mark student s name with permanent pen on all inhalers. Please list any drug being brought by the applicant: Name of Medication What is it for: Dosage The nurse carries the following stock items: Ibuprofen Tums, Pepto-Bismol, Throat Lozenges (for Sore throats and cough). Allergy Relief: Decongestants, and Antihistamines. Skin Ointments: Hydrocortisone, Calamine, Sunscreen, and insect repellant. Please circle any you do not want your child to receive. Note: If a participant has serious reactions to food or insect bites that require an Epi-Pen, please send with your student. I understand that if the applicant is sick over 36 hours, I will have to arrange for other transportation home. In case of medical emergency, I hereby give permission to the physician selected by the school nurse to secure proper treatment for my child as named on this form. (You will be notified as soon as possible in case of serious injury or illness.) Signature of parent or guardian Phone ( ) Address City/State/Zip If unable to notify me in case of emergency, please contact: Name Relationship Phone ( )

9 DOCTRINAL PROTECTION POLICY Adopted by CEF International Board of Trustees May 6, 2002 Child Evangelism Fellowship continues in its commitment to its Statement of Faith, which embodies the nonnegotiable and historic beliefs of evangelical Christians. Within the community of evangelical believers various distinctives exist which do not prevent our fellowship in the Lord and our effectiveness as child evangelists. We therefore resolve that CEF workers are qualified by their unreserved commitment to CEF s Statement of Faith and their further commitment in all CEF activities to refrain from teaching or otherwise advocating doctrinal distinctives either contrary to or in addition to the Statement of Faith. Child Evangelism Fellowship Worker s Compliance Agreement Recognizing the spiritual need of boys and girls in our community and around the world, I would like to assist in the work of Child Evangelism Fellowship (CEF). I understand that CEF is without specific denominational affiliation, and have read the Statement of Faith and CEF Doctrinal Protection Policy. In becoming a coworker with CEF, and in order to protect the ministry, I agree not to propagate or practice in CEF ministries any distinctive or controversial doctrines, methods and practices that would go beyond the CEF Statement of Faith and the approved CEF curriculum. These would include but not be limited to such things as modes of baptism, alteration of the Gospel message, speaking in tongues, interpretation of Scripture by experience, healing on demand, etc. I understand that anyone who does not adhere to this agreement cannot serve with CEF as paid staff or volunteer. In teaching Bible lessons in core CEF programs I will use exclusively materials approved by CEF. In offering my services I trust the Lord to make me a faithful servant, and should problems arise between CEF and me that cannot be fully reconciled, I will quietly withdraw to preserve the harmony essential to having an effective Christian witness. By signing below, I indicate: a) My agreement with the Statement of Faith and that b) I will abide by the above Worker s Compliance Agreement, and that c) I will abide by the policies of CEF as long as I am actively involved. Signed Address Date Church Affiliation CHILD EVANGELISM FELLOWSHIP INC., PO Box 348, Warrenton, MO 63383

10 WE BELIEVE - Child Evangelism Fellowship Statement of Faith That All Scripture is given by inspiration of God, by which we understand the whole book called THE BIBLE; that it is inerrant in the original writing and that its teaching and authority are absolute, supreme and final. That the Holy Spirit guided the holy men of old in all that they wrote. 2 Timothy 3:16; Deuteronomy 4:2; 2 Peter 1:21 The Godhead eternally exists in three persons, the Father, the Son and the Holy Spirit. These three are one God, having the same nature, attributes and perfection. Romans 1:20; Matthew 28:19; Deuteronomy 4:35; John 17:5 In the personality and Deity of the Lord Jesus Christ, begotten of the Holy Spirit, born of the virgin Mary, truly God and truly man. John 1:1, 14; 10:30; Matthew 1:20; Luke 1:30,31; Philippians 2:5-7; 1 Timothy 3:16; Colossians 1:19 In the personality and Deity of the Holy Spirit, the source and power of all acceptable worship and service, the infallible interpreter of the infallible Word, who indwells every true believer, and is ever present to testify of Christ, seeking to occupy us with Him and not with ourselves or our experiences. John 15:26; Acts 5:3-4; 1:8; Romans 8:26-27; 1 Corinthians 2:12,14; Romans 8:9; 1 Corinthians 3:16; 12:13; John 16:13-14 That man was created in the image of God, after His likeness, as stated in the Word of God, but the whole human race fell in the fall of the first Adam. Not only was his moral nature grievously injured by the fall but he totally lost all spiritual life, becoming dead in trespasses and sins, and subject to the power of the devil. The carnal mind is enmity against God; for it is not subject to the law of God, neither indeed can be. So then, they that are in the flesh cannot please God (Romans 8:7,8). Therefore, he cannot see nor enter the kingdom of God until he is born again by the Holy Spirit. That no degree of reformation however great, no attainment in morality however high, no culture however attractive, no humanitarian and philanthropic schemes and societies however useful, no baptism or other ordinance however administered, can help the sinner to take even one step toward Heaven; but a new nature imparted from above, a new life implanted by the Holy Spirit through the Word is absolutely essential to salvation. Genesis 1:26-27; Romans 5:12; Ephesians 2:1-3; John 3:3,6,7; Titus 3:5 That Jesus Christ became the sinner s substitute before God, and died as a propitiatory sacrifice for the sins of the whole world. That He was made a curse for the sinner, dying for his sins according to the Scriptures; that no repentance, no feeling, no faith, no good resolutions, no sincere efforts, no submission to the rules and regulations of any church can add in the very least to the value of the precious blood or to the merit of that finished work wrought for us by Him, who tasted death for every man. 1 John 2:2; Hebrews 2:9; Galatians 3:13; Romans 3:25; 4:4-5; 5:8; Colossians 1:13-14,20-21 In the resurrection of the crucified body of Jesus Christ; that His body was raised from the dead according to the Scriptures, and that He ascended into Heaven and sitteth on the right hand of God as the believer s high priest and advocate. Luke 24:39; Acts 1:10-11; Ephesians 4:10; Hebrews 1:3; 1 John 2:1 That Christ in the fullness of the blessings He has secured by His death and resurrection is received by faith alone and that the moment we trust in Him as our Savior we pass out of death into everlasting life, justified from all things, accepted before the Father according to the measure of His acceptance, loved as He is loved and made one with Him. At the time of acceptance of Christ as Savior, He comes to dwell within the believer and to live out His life of holiness and power through him. Hebrews 9:15; John 5:24; Romans 3:28; 4:3,23-25; Ephesians 1:3; John 17:23; Galatians 2:20; 4:6-7; 5:16; Acts 1:8 That the Church is composed of all those who truly believe on the Lord Jesus Christ as Savior. It is the body and bride of Christ. That every believer, whether Jew or Gentile, is baptized into the body of Christ by the Holy Spirit, and having thus become members of one another we are responsible to keep the unity of the Spirit in the bond of peace, rising above all sectarian prejudices and denominational bigotry and loving one another with a pure heart fervently. Ephesians 1:22-23; 2:19-22; 1 Corinthians 12:22-27; 1:10-13; Romans 12:4-5; Ephesians 4:3-6; 5:32; Philippians 2:1-5; Galatians 5:13-15 That all believers in our Lord Jesus Christ are called into a life of separation from worldly and sinful practices, and should abstain from such amusements and habits as will cause others to stumble, or bring reproach upon the cross of Christ. Believers are created in Christ Jesus unto good works. As we have therefore opportunity, let us do good unto all men, especially unto them who are of the household of faith (Galatians 6:10). 1 John 2:15-16; Romans 13:14; 14:13; 1 Corinthians 10:31; Ephesians 2:10 In the evangelization of the world, that the supreme mission of the people of God in this age is to preach the Gospel to every creature. That special emphasis should be placed upon the evangelization of children. Mark 16:15; 2 Corinthians 5:18-19; Matthew 18:14 In the personal return of our Lord and Savior Jesus Christ, that the coming again of Jesus Christ is the blessed hope set before us, for which we should be constantly looking. Our citizenship is in Heaven from whence we look for the Savior, the Lord Jesus Christ (Philippians 3:20). Acts 1:11; 1 Thessalonians 4:16-17; John 14:1-3; Titus 2:13; Philippians 3:20-21 That the souls of those who have trusted in the Lord Jesus Christ for salvation do at death immediately pass into His presence, and there remain in conscious bliss until the resurrection of the body at His coming, when soul and body reunited shall be with Him forever in glory. Luke 23:43; 2 Corinthians 5:8; Luke 16:22,25; Philippians 1:23; 1 Thessalonians 4:15-18 That the souls of the lost remain after death in misery until the final judgment of the great white throne, when soul and body reunited at the resurrection shall be cast into the lake of fire which is the second death, to be punished with everlasting destruction from the presence of the Lord, and from the glory of His power (2 Thessalonians 1:8-9). Luke 16:22-23,27-28; Hebrews 9:27; Revelation 20:5,11-15; 2 Thessalonians 1:7-9 In the reality and personality of Satan, that old serpent, called the devil, and Satan, which deceiveth the whole world (Revelation 12:9). Ephesians 6:11-12; 1 Peter 5:8; Revelation 20:10

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