Catholic Youth Camp Volunteer Referral Form

The following information should be completed by one of the following: the applicant’s pastor, assistant pastor, Director
of Religious Education, Youth Minister, Campus Minister, or Director of Faith Formation. Please do not use a family

Referent’s Information

Parish Name
Parish City
Home Phone
Cell Phone
Email Address
Relationship to Applicant

Applicant’s Information

Is the applicant a registered parishioner at your parish? YesNo
Is the applicant a practicing Catholic and in good standing with the Catholic Church (e.g., regular Mass attendance, private prayer, striving to live a moral Christian life, etc.)? YesNo

Do you recommend the applicant to be on the Leader Team or a Counselor at Catholic Youth Camp 2017? YesNo
Why do you recommend the applicant as a volunteer for Catholic Youth Camp (CAYOCA)?

Thank you for your time in filling out this referral. Please know that all the information presented will be confidential. If you have any questions, please call Kara Kardell at 712.233.7516 or