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CAYOCA Missionary Volunteer Reference

- 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. Any application filled out by a family member will not be considered.
- The maximum number of form submissions has been reached. This form is currently not available.
  
  Referent’s Information
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Parish Name Please enter valid data.
  
  Parish City Please enter valid data.
  
  Phone Number REQUIRED Please fill out this field. Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Relationship to Applicant Please enter valid data.
  
  Applicant’s Information
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  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.)? REQUIRED Yes No Please fill out this field.
  
  Why do you recommend the applicant as a Missionary Volunteer for Catholic Youth Camp (CAYOCA)? REQUIRED Please fill out this field.
  
  Submit
  
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- 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 Maureen Timblin at 712.233.7530 or maureent@scdiocese.org.