2024 CYIA OMAHA APPLICATION

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Thank you for your interest in attending Christian Youth in Action! We are so excited to see how God could use this program in your life as you impact children with the Gospel.

This application must be completed in its entirety and reviewed by the CYIA Omaha Lead Team before it is approved. If you have any questions or concerns, please contact Esther Beasley (402-342-9272) before completing this form.

Omaha area - Esther Beasley - esther@cefofomaha.org - (402-342-9272)

Lincoln area - Jonathan Musgrave (402-525-5305) / Joe Pelling (816-674-6265)

Tri-Cities: Grand Island, Kearney, Hastings areas - Mike & Autumn Pena (308-233-1501)

All other areas - Ryan Folken (402-281-1386)

Submitting this application does not guarantee acceptance into CYIA.

Email (primary family email): *

I am applying for: *

Nebraska offers three location-specific CYIA training sessions. This application is for CYIA Omaha and primarily includes the Omaha, NE region.

If you live outside the Omaha area, please connect with the CYIA location closest to you.

www.cefofomaha.org/cyia (Greater Omaha area)
www.cefnebraska.org/cyia-lincoln (Greater Lincoln area)

www.cefnebraska.org/cyia-tricities (Grand Island, Kearney, Hastings, other Central Nebraska areas)

Uncertain where you fit? Contact Ryan Follken (402-281-2828)

*Do not fill out this form unless you live in the Omaha area or have approval from Ryan Folken (CYIA State Director), Esther Beasley or Brandon Shippy (CYIA Omaha directors).

CYIA Omaha (I live in the greater Omaha/Council Bluffs area)

Oops! I need a different link!

STOP! GET STUFF READY! *

**BEFORE GOING ANY FURTHER: PLEASE GATHER THE FOLLOWING INFORMATION**

Check all resources that you are prepared to use during this application. This year's form includes all relevant forms (Medical Release form, Worker's Compliance, Child Protection Policy, and Statement of Faith), so it may take a little longer to complete and you may need additional information than in prior years.

Information about who you are and how to contact you (Section 2)

Information about your parents and how to contact them (Section 3)

Five (5) Prayer Partners AND a way to contact them (Section 5)

FIRST YEARS: Four (4) References: Parent, Pastor, 2 non-relative - **Must include Phone & Email (Section 7)

Summer Calendar to select weeks indicating ministry availability (Section 11)

Medical Info - Policy numbers, emergency contacts (Section 12) (Can be done through the mail)

CYIA Deposit Payment - credit card or checkbook (Section 15)

Your parents' digital signature if you are under 19 years old (Sections 17-18)

Required

Clear form

Never submit passwords through Google Forms.

This form was created inside of Child Evangelism Fellowship of Nebraska. Report Abuse

Forms