Greater North Carolina Youth Department 2021 Graduate Recognition
**each year it's our goal to recognize as many high school and college graduates as possible, please complete this by June 14, 2021**
Graduate Name
*
First Name
Last Name
Email
*
example@example.com
Cell Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Church Name
*
must be a member in good standing in Greater NC Jurisdiction COGIC
Pastor's Name
*
Youth Leader's Name
*
Name of Parent(s)/Guardian(s)
*
List no more than two
Are you a High School Graduate or College Graduate?
*
Please Select
High School
College (undergraduate degree bachelors or associates)
Master's Degree
Doctorate
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If you are graduating from high school, what are your plans after graduating from high school?
*
Please Select
College
Work
Military
Unsure
N/A
If you will be enrolling in college during Fall 2021 or Spring 2022, please indicate the full name of the college or university you will be attending and what major/degree you will be pursuing.
*
Do you plan to apply for the Greater NC Jurisdiction Youth Department Scholarship that's due on Friday, June 25, 2021? If so, go to www.gncjyouthdept.org to complete the application.
*
Yes
No
Maybe
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If you graduated from college, what's the name of the college and please indicate degree type along with the full name of your program or major
*
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What additional accolades or additional information would you like to share with us?
*
Upload a high quality photo of yourself that we may use to highlight you on social media and other outlets.
*
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