Iowa State Council
Knights of Columbus
Youth of the Year
nominating form
Council Number:
*
Council Name:
Council Location:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Grand Knight:
*
GK Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
GK Email:
Email to use for submission confirmation
GK Phone:
*
-
Area Code
Phone Number
Name of Youth:
*
Youth's Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Youth/Parent Email:
Youth/Parent Phone:
*
-
Area Code
Phone Number
Youth's Father:
Father is a Knight:
Yes
Youth's Mother:
Names of Brothers:
Names of Sisters:
Youth's Parish:
*
Parish Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Pastor/Parochial Administrator:
*
E-mail:
Phone Number:
*
-
Area Code
Phone Number
Parish Activities:
Religious Education Instructor or Assistant
Usher/Greeter
Lecturer
Altar Server
Musician
Extraordinary Minister of Holy Communion
Youth Group
Other Parish Activities Youth is involved with:
Youth's School:
*
School Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Youth's Current Grade Level:
*
Please Select
9th
10th
11th
12th
School Activities
National Honor Society
Class Officer
Drama
Speech
Newspaper and/or Yearbook
Instrumental Music
Vocal Music
Robotics
Quiz Bowl
FFA/4H
Dance Team
Cheerleading
Football
Volleyball
Cross Country
Swimming
Basketball
Wrestling
Bowling
Golf
Soccer
Tennis
Track
Baseball / Softball
Other School Activities:
List any community and other special interest of the Youth:
List any specific awards the Youth has received:
What impact has this Youth made and why should he/she be chosen as the youth of the Year?
*
Additional Comments:
Attachments:
Include pictures, testimonials and any other information
District Deputy Email:
Send a copy to your DD
Submit
Print Form
Should be Empty: