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**
Cell Phone Number
Please enter a valid phone number.
must be a member in good standing in Greater NC Jurisdiction COGIC
Youth Leader's Name
Name of Parent(s)/Guardian(s)
List no more than two
Are you a High School Graduate or College Graduate?
College (undergraduate degree bachelors or associates)
If you are graduating from high school, what are your plans after graduating from high school?
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.
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
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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Choose a file
Should be Empty: