Youth Council Application

The Kiski Youth Council

Please provide the following information:
You may submit it online, or print this and mail it in to the presbytery office.

Name

Street Address

City

State

Zip

Home Phone

E-mail

Birthdate

Nickname if it's your preferred name:

Age

Year in School '99-'00

Mother's Name

Father's Name

Lives with Both Parents Mother Father

Why are you interested in being a member of the Kiski Youth Council?

How are you involved in your church? Include any involvement in youth ministry programs.

Are you available for meetings approx. one a month in Jan-April and Sept-Nov
on Sunday evenings from 5:00-7:00 in Punxsutawney? Yes No

My Parent(s) know I'm applying for the Kiski Youth Council, and it's okay with them Yes No

(Note: on receiving this application we will let your pastor know you've applied and ask him/her this question: Do you recommend this person as a member of the "Kiski Youth Council"

Thanks for applying! You will receive an E-Mail confirmation within 3 days

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Name
Street Address
City
State
Zip
Home Phone
E-mail
Birthdate
Nickname if it's your preferred name:
Age
Year in School '99-'00
Mother's Name
Father's Name
Lives with	Both Parents Mother Father