Central South District At-Large Youth Delegate Application for 2023
By submitting this application you agree that if selected you will attend ALL Annual Conference sessions, the Pre-Conference Briefing and Youth Delegation training opportunities (i.e. Youth Summit/Retreat) . Selections will be made this winter. You will be contacted on your status in January.
Youth Name
First Name
Last Name
Youth Email
example@example.com
Youth Cell Number
Please enter a valid phone number.
Parents(s) Name(s)
First Name
Last Name
Parent Email
example@example.com
Parent Phone Number
Please enter a valid phone number.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Church
How many years have you been a member of your church?
T-Shirt Size
Small
Medium
Large
X-Large
XX-Large
Have you served as an At-Large Delegate in the past?
Yes
No
If you have served at an At-Large Delegate in the past, how many years have you served?
Current Committees or Ministries in which you are actively engaged in your church
Please share why you would like to serve at Annual Conference.
What are you passionate about in your church or your community? Examples: serving in home repair ministry, your youth group, social justice, mental health advocacy, etc.
If you were to bring a resolution to the floor of Annual Conference, what would it be?
Photo Release
By signing this form, I give the United Methodist Church of North Georgia permission to photograph my youth and use his or her photo solely for the church's website or social media accounts. The United Methodist Church will never publish a youth's name with any of its publications.
Youth Name
First Name
Last Name
Parent's Digital Signature
Clear
Date
-
Month
-
Day
Year
Date
Submit
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