CAYOCA Teen Leader Reference

The following information must be completed by: the applicant’s Parish Priest, 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.

Referent’s Information

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

Applicant’s Information

Is the applicant a practicing Catholic and in good standing with the Catholic Church (e.g., regular Mass attendance, living a moral Christian life, being part of parish activities, etc.)? YesNo
Why do you recommend the applicant as a volunteer for Catholic Youth Camp (CAYOCA)?

Thank you for your time for 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