Chi Alpha Missionary Associate Spouse Application

Role

Do you fully subscribe to the National Chi Alpha Vision Statement?*

Vision Statement: We are a Spirit-empowered, diverse community of believers on university campuses, declaring in word and lifestyle our faith in Jesus Christ, equipped to fulfill our purpose in God's global plan.

Yes
No

In what role will you be serving?*

What is your title?*

Assemblies of God District Where You Plan to Serve*

You will find the Chi Alpha district map listed here for your reference.

Chi Alpha Area Where You Plan to Serve*

You will find the Chi Alpha district and area map here for your reference.

On what campus do you plan to serve?*

Please write out the full name of the college/university. Abbreviations are not clear enough to determine the name as there can be several colleges/universities with the same acronym.

If this does not apply, put N/A.

Do you serve on a campus in addition to your national, area, or district role? If so, please provide the name of the campus.*

Please write out the full name of the college/university. Abbreviations are not clear enough to determine the name as there can be several colleges/universities with the same acronym.

If this does not apply, put N/A.

Name of the Supervising Campus Missionary Where You Plan to Serve*

First Last

Email of the Supervising Campus Missionary Where You Plan to Serve*

When do you anticipate beginning ministry?*

What is your primary motivation to serve in Chi Alpha?*

CMIT Program Placement

Please read these instructions before you continue.

A CMIT is approved nationally and locally. Chi Alpha will notify you when you have received national program approval and local site acceptance into the program. Please prioritize your choice of local programs with #1 being your first choice and make sure all your choices are different. These programs are listed online here. Every local CMIT program maintains the prerogative to accept or not accept any nationally approved CMIT.

A nationally approved CMIT should attend the Reach the University Institute (RUI) prior to their CMIT internship. RUI serves as an orientation to the interning year.

This application is for those wishing to complete a CMIT during the 2021-2022 academic year. The following must be included with this application:

Application Fee Payment: Non-refundable $100 application fee and $75 late fee if submitted after the February 15 deadline (please pay here)
Recent high-quality professional-looking photo to be used for our online directory
Copy of the front of your Social Security card and the front of your driver's license

Applications without these items will not be processed.

First Choice*

Second Choice*

Please choose all different programs. First, second, and third choices cannot be the same.

Third Choice*

How do your parents/guardians view your intentions to become a CMIT? Please explain.*

What will you do next year if you are not accepted as a CMIT?*

Name of Employer	City/State of Business	Dates Employed	Job Title	Job Responsibilities	Reason for Leaving

Chi Alpha Missionary Associate Spouse Application

Step 1 of 7

Your Personal Information

Children

Emergency Contact

Role

CMIT Program Placement

Please read these instructions before you continue.

Application Fee Payment: Non-refundable $100 application fee and $75 late fee if submitted after the February 15 deadline (please pay here)

Missionary Account Information

Direct Deposit Information

I-9 Information

Financial Summary

Formal Education

Occupational Background

Personal History

Self Evaluation

Your Beliefs

Spiritual History

Ministry Background

Church Affiliation

References for CMIT Applicant

Your references will be sent an automatic email with the link to the reference form.

References for Chi Alpha Missionary

Uploads

Important!

Find A Chi Alpha Group Near You

Title	Author