CYC Application 2023
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Family Name *
First Name *
Middle Name
Sex *
Required
Birth Date *
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Email *
Current Address *
Cell Phone Number *
WhatsApp No. if applicable
Please list all countries of which you are a citizen and for which you have a current passport.  If you are not a citizen of the country you are currently in, please ALSO state your immigration status there: *
Are you married? If so, what is the name of your spouse? *
Do you have any dependent children? If so, what ages? *
Are you a Seventh-day Adventist, and if so, for how long? If so, describe any position or responsibility you have in your church? *
Are you currently employed? If so, describe what you do *
List place/programs and dates of any selling or door to door experience you have had? (eg. Mexico Student Literature Evangelist - Summer 2021) *
Check beside the words that best describe you: *
Required
Where did you hear about Canada Youth Challenge, and why do you want to work with this Literature Evangelism Program? *
Are you taking any medication and if so, for what? *
In the last 6 months, have you experienced any of the following: (please check those applicable to you) *
Required
Please elaborate on any condition checked above and on any other medical, mental, emotional or physical concerns?
What are your short-term and long-term plans after you finish the program? *
Please rate your English speaking skills from 1 to 10, with 10 being excellent: *
Have you ever been convicted of a felony or criminal activity? If yes, please explain. *
Do you have a driver's license? If so, from what country? *
Are you able to commit to the program dates of May 29 through August 13, 2022? (Preference is given to students who are able to begin and end on these dates) *
Required
If not, what date can you start by and what date is the latest you can stay? Please explain why you are requesting exemption from the official program dates?
Some participants earn only enough to cover their expenses.  They see this as missionary work in a spiritually needy field where God calls them to work.  Are you ready to serve God for the full committed term even if you have little or no money left after all expenses? *
Required
Please list the names of at least 2 personal references, your pastor or elder being the first, including their email, and/or phone number where they can be reached. (ex: Pastor, Church Elder, Work Supervisor, Youth Leader, etc - no peers or family members please). Please provide the Name, Position/Title, Email Contact Information and Phone Number: *
******************************  FOR STUDENTS ONLY  *************************
Skip to the next section if the following does not apply to you.
School Name:
Current degree/program AND year of study (Eg. Bachelor in Biology - 3rd year)
Do you plan to return to school after the summer (Yes/No)?
Do you depend fully upon canvassing for your tuition or do you have other sources of income? Please explain.
****************    FOR INTERNATIONAL APPLICANTS ONLY    ****************
Skip to the next section if the following does not apply to you.
How much money do you have available for your travel to Canada - granted your application and visa request is approved?
Have you ever been denied a visa in the past from ANY country? Please indicate YES or NO AND provide short details on the reason they gave you.
Do you have any family and/or relatives in Canada? If so, where?
Passport Country:
Name Exactly As Written in Your Passport:
Passport Number:
Passport Expiration Date:
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I understand that I am required to return to my country of citizenship or residence once the term of my permit and/or visa is expired.  I agree to comply with Canadian law and CYC policies in this regard.  I also understand that CYC will officially report me to Immigration Canada if I do not respect the terms of my visa or work permit.
********************  CONFIRMATION OF AGREEMENT  **********************
I confirm that I have received and carefully read the entire CYC Handbook for 2023.  I accept all the program policies as outlined in the handbook and agree to conduct my private and public life in harmony with the teachings of the Seventh-day Adventist Church and the current Canada Youth Challenge Handbook. *
Required
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