Salem Presbytery Youth Council Member Application Form
Name
*
First Name
Last Name
Email
*
example@example.com
Primary Phone Number
*
Please enter a valid phone number.
Home Congregation
*
Pastoral Reference
*
First Name
Last Name
Pastoral Reference Email
*
example@example.com
Personal/Community Reference
*
First Name
Last Name
Personal/Community Reference Email
*
example@example.com
Briefly share the ways you have been involved in the life of your home congregation/ministry setting.
*
Briefly share the ways you have been active in serving others in your local community beyond the walls of your home congregation/ministry setting.
*
Please share any ways you have been or are connected with the greater Church (within the PCUSA and beyond) [Example: Local missions, conferences, camps, etc.]
*
Please share any relevant leadership experience/positions held and provide a brief description of each.
*
What do you expect the work of the Presbytery Youth Council to involve?
*
Would you be able to set aside one Saturday morning/afternoon a month to meet with the PYC?
*
Yes most Saturday's are good for me
No I would need to meet a different day
Please mark the grade level you will be in this Fall:
9th
10th
11th
12th
Adult
Submit
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