CMIT Program Annual Renewal | Chi Alpha Campus Ministries

Due date: June 15

This renewal is to be completed by the CMIT director each year. Please submit with this form the $100 annual renewal fee for a Classic Model Program or the $150 annual renewal fee for a Hub Model Program. You will find payment options at the end of this form.

Host University for CMIT Program*

What model is your CMIT Program?*

Classic Model
Hub Model

CMIT Director*

First Last

Email*

Do you as the CMIT director and your local Chi Alpha group qualify to offer a CMIT Program according to the guidelines outlined in the CMIT Directors Handbook? Please respond to the following questions.

Presently, how many total students are involved in a discipleship small group and/or in a one-to-one discipleship relationship?*

Is your missionary budget and are your associate staff budgets fully raised?*

Yes
No

Please explain why not.*

Is your local Chi Alpha group demonstrating in measurable ways that it is a community of worship, prayer, fellowship, discipleship, and mission?*

Yes
No

Please explain why not.*

Is your local Chi Alpha group in compliance with the Statements of Mission, Faith, Relationship, and Financial Responsibility articulated on the Chi Alpha Campus Group Charter Form?*

Yes
No

Please explain why not.*

Does your Area Director and District Chi Alpha Representative/Director continue to endorse your CMIT Program?*

Yes
No

Please explain why not.*

Do you maintain a License to Preach or Ordained credential with the Assemblies of God?*

Yes
No

Please explain why not.*

As a Chi Alpha missionary and CMIT Director are you full-time in campus ministry?*

Yes
No

Please explain why not.*

Do you have associate staff who would benefit from attending a CMIT Director Boot Camp?*

Yes
No

Which of your staff would benefit from attending a CMIT Director Boot Camp?*

Do you anticipate anything that will make it too difficult for you to serve as the CMIT Director for the next academic year (such as a sabbatical, college degree program, newly married, birth of child)?*

Yes
No

Please explain why.*

Please list all returning associate staff members you will have next academic year who will assist with the CMIT Program.*

How many CMIT interns would you like to accept for the next academic year?*

Is there a discussion topic relating to the training of interns or university ministry in general you would like to see addressed at an Annual CMIT Directors Meeting?*

How will you pay the annual renewal fee of $100?*

Online with a credit card
National Account Deduction
Check

How will you pay the annual renewal fee of $150?*

Online with a credit card
National Account Deduction
Check

Account Number*

Please pay your annual renewal fee here. In the comments section of the provided payment page, please note that this is for CMIT Program Renewal fees. Once you’ve completed the process you will receive an email confirming your payment – please forward that email to cmit@ag.org so we will also have record of your payment.

Please send your check to:
Chi Alpha Campus Ministries, U.S.A.
1445 N. Boonville Ave.
Springfield, MO 65802

Please include in the memo line: Acct #702-615 CMIT Program Renewal Fees.

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