Christian Youth in Action: Summer Missionary Application Form
Please fill out this form if you are interested in serving with CEF of Lycoming County in the CYIA program over the summer. Once this form is submitted, we will reach out to you with further information and instructions. We look forward to your submission!
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First Name
Last Name
Email
Phone Number
Date of Birth
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How did you hear about CYIA?
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Why are you interested in becoming a CYIA with CEF of Lycoming County for the summer?
 Share your personal testimony on how you came to know Christ Jesus as Savior.
List any previous volunteer experiences with children.
Submit
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