KCYF Application Form

The Purpose:

The KCYF Cabinet is the youth ministry of the Christian Church in the region of Kansas. The Cabinet provides opportunities for high school youth of Kansas to experience the transforming power of Christ in a community of Christian youth, beyond their local congregations and provide opportunities for leadership development among high school youth.

Instructions:

Applications for the KCYF are accepted online between June 15 – August 15. See KCYF Cabinet Description for qualifications and responsibilities. Application is not complete until three letters of reference are received on or before August 31, one of which must be your pastor.

Name(Required)

First Last

Age(Required)

Gender(Required)

Grade Completed(Required)

As of June 30

Address(Required)

Street Address Address Line 2 City State ZIP Code

Phone(Required)

Email(Required)

Church Membership(Required)

How long have you been a member?(Required)

Please check all that apply(Required)

I attend worship

I lead/teach a youth fellowship, Sunday School class, or Bible study at my local church

I serve in other ways in my local church

I participate in Bible Study or Prayer group

I display service to others

Explain the other ways you serve in your local church(Required)

Please describe the ways you display service to others(Required)

In 100 words or less, describe the ways you demonstrate and/or exercise your Christian faith:(Required)

In 100 words or less, describe why you want to serve on the KCYF cabinet.(Required)

List your volunteer activities within your church and community:(Required)

Describe the talents, hobbies and/or skills you will bring to this position of leadership:(Required)

Please list three persons who are familiar with your character as it relates to working with children/youth. Include your pastor/youth pastor as one. Please inform you references to submit the online reference form found at www.kansasdisciples.org/youth. A PDF copy is available upon request from any regional office.

Pastor's Name(Required)

First Last

Phone(Required)

Email(Required)

Name(Required)

First Last

Relationship to the Applicant(Required)

Phone(Required)

Email(Required)

Name(Required)

First Last

Relationship to the Applicant(Required)

Phone(Required)

Email(Required)

Acknowledgements & Signatures:

The Nominee: I, the undersigned, certify that the information contained in this application is correct to the best of my knowledge. I understand that the Christian Church in Kansas, will be contacting persons or organizations named in this application to confirm my abilities and character appropriate for leadership. I authorize any reference listed in this application to give any information they may have regarding my character and fitness. I release all such reference from liability for any damage that may result from furnishing such evaluations; and, I waive my right to inspect references provided on my behalf. I acknowledge that by typing my name in the signature box below that the information I have provided is true to the best of my knowledge. I understand that, if selected, I will be expected to be a responsible member of the Kansas CYF Cabinet. Further, I agree to attend and participate in each of the scheduled meetings beginning with the Orientation Meeting and all events the Cabinet is expected to attend.

Signature(Required)

Parent/Guardian of Nominee: I acknowledge that by typing my name in the signature box below that I am aware my child’s application for this leadership position. I understand that, if selected, my child will be expected to responsibly attend meetings of the KCYF Cabinet and events as described on KCYF Cabinet Information page. As a parent/guardian, I will make every effort possible to support my child in these endeavors.

Signature(Required)

Phone

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

The Purpose:

Instructions:

Acknowledgements & Signatures:

Christian Church in Kansas Regional Office

South Central Satellite Office

Central/High Plains Satellite Office

Disciples Center at Tawakoni

Webmaster

The Purpose:

Instructions:

Acknowledgements & Signatures:

Footer

Christian Church in Kansas Regional Office

South Central Satellite Office

Central/High Plains Satellite Office

Disciples Center at Tawakoni

Webmaster