CHRISTIAN YOUTH IN ACTION OF MICHIGAN

CYIA Student Staff Application

CYIA 2024 June 14 - 21, 2025 The Springs Ministries Camp, Gladwin, MI Cost: $400 Cash or Check made payable to CEF $415 Paypal A $50 application fee and the application are due by APRIL 15, 2025. If you bring your "Discovering Jesus" 5-Day Club kit from 4 years ago, we will give a discount of $25. Please fill out the Medical Information Form as well.

Gender(Required)
Address
T-Shirt Size(Required)
Area of Service: Where would you like to serve while at CYIA training?
Name of Pastor, youth pastor, spiritual leader who will act as a reference for you.
Please have this persone fill out the Reference form you. They can be downloaded from this website or they can fill out the reference form online on this site.
Name of a non-relative adult who can act as a 2nd reference for you.
Please have this person fill out the Reference form you. They can be downloaded from this website or they can fill out the reference form online on this site.

Acknowledgement Statement

I understand that as Student Staff, I have the privileges of the CYIA staff but also the responsibility of the student, to prepare for teaching the children during the summer. I agree to follow the guidelines for the staff as described in the CYIA Staff Gudelines.

Medical Information and Permissions

Mark all that apply

Medical Insurance information

This field is for validation purposes and should be left unchanged.