SHYC 2022 Planning Team
Youth Application
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Name *
First and Last name
Home Address *
Cell Phone *
Email Address *
Birth Date: *
MM
/
DD
/
YYYY
Grade Fall 2022: *
Church & City *
Church Phone Number *
Parent(s)/Guardian(s) *
Parent(s)/Guardian(s) Phone *
Parent(s)/Guardian(s) Email *
Pastor, Christian Educator, Youth Leader (List Name and phone number) *
Please list two adult church members (with contact numbers) who may serve as references for you: *
Briefly describe your relationship with Jesus Christ and the role of the church in your life: *
Briefly list activities in which you have participated in your church, presbytery, etc.: *
Briefly describe activities in which you have participated in your school, community, etc.: *
Briefly state why you would like to serve on the SHYC Planning Team and what you hope to gain from the experience: *
Briefly describe any particular gifts, talents, skills, abilities, personality traits, etc. with which you would contribute to work of the SHYC: *
Which team would you like to be considered for SHYC Planning Team 2022: *
Required
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