Date of application: ___/___/___ Office Use Only: _____________________ --- Current Photo Here
DIOCESAN YOUTH COUNCIL
Attach
Diocese of Palm Beach
2002-2003
Please complete this information sheet and return it
to your parish youth minister. Write
clearly or type. If you have any
questions, please call the Diocesan Youth Office (561) 775-9542. After
Youth Council representatives are selected, an information sheet of each newly
chosen member is to be sent to: Office for Youth and Young Adults, Diocese of
Palm Beach, P.O. Box 109650, Palm Beach Gardens, FL 33410-9650 or FAX 561-775-9556.
(Please print
or type)
Name
Age Phone
Address City Zip
Graduating Class of Birthday E-mail Parish
School attending School activities
Any other activities (including parish)
Why do you want to be selected to serve on the
Diocesan Youth Council?
Have you spoken with your parents about serving on
the Youth Council?
Do your parents know about your commitment to attend
all meetings?
Do you have a means of transportation to the various
parts of our Diocese for the meetings?
If not, will your parents allow you to car pool with
other members of the Council?
Describe how much parental support you have for
participation on the Diocesan Youth Council
Parent’s/Guardian’s Name (printed):
Parent/Guardian Signature:
Pastor’s Signature:
Youth Minister’s Signature:
(OVER)
Page
2
What are some strengths that you will bring to the
Diocesan Youth Council?
What are some weaknesses that you may bring to the
Diocesan Youth Council?
Generally speaking, how do you act in a group? (i.e.
shy, loud, organizer, leader, sensitive to others, etc.)?
How do you think this experience will benefit you
personally?
Diocesan, State, Regional and National Youth
Ministry events in which you have participated (if any):
Candidate’s Signature
Date