Name*

First

Last

Birth date*

mm/dd/yyyy

Address*

Address 1

Address 2

City

State

Postal Code

Country

Phone number*

Fax number*

Email*

Church affiliation*

Have you been baptized?*

Yes

No

Baptism date*

mm/dd/yyyy

School attended last year*

Have you participated in a previous YFJ program?*

Yes

No

If not, have you been involved in an evangelistic crusade before?

Yes

No

If yes, in what capacity?

What do you intend to receive from this youth evangelism experience? (50 words or more)*

What do you feel you have to contribute to this program? (50 words or more)*

In what way do you think God may be leading you in your life mission?*

Do you have personal devotions on a regular basis? If yes, tell what books, tapes, notes, & etc. you have been using and how they have helped you.*

How do you view your spiritual life and what would you like to do to improve/change it? Discuss your feelings (convictions) on dress standards, videos, computer games, music, reading and viewing materials.*

What goals and dreams do you hope to accomplish in life?*

Please check the areas that you would like to be involved in:*

Giving Bible studies

Children's ministries

Music

Literature evangelism (door-to-door)

Greeting & sign-up

Ushering

If you speak any languages other than English, please list here:

If you play an instrument or sing, please indicate which here:

Is there any other information you would like to give us not covered in the questions above?

I have read the program's expectations as outlined in the participation guidelines and I agree to follow them.*

Yes, I agree

Online Application