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Teen Leader Referral Form

- 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.
- 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 REQUIRED Please fill out this field. Please enter valid data.
  
  Parish City REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number REQUIRED Maximum 20 characters 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, living a moral Christian life, being part of parish activities, etc.)? Yes No
  
  Why do you recommend the applicant as a volunteer for Catholic Youth Camp (CAYOCA)?
  
  Submit
  
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- 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 [email protected]