DIOCESAN YOUTH COUNCIL
Diocese of Gary

 Information Sheet

Please complete this information sheet and return it to your parish youth minister.  Write clearly or type.  If you have any questions, please call the Diocesan Youth Office (219) 769-9292 x229, or email Kevin Driscoll.  Youth leaders: please return this form to: Office for Youth and Young Adults, Diocese of Gary, 9292 Broadway, Merrillville, IN 46410 or FAX 219-738-9034.

Name                                                                                       Age                  Phone                                                 

Address                                                                                     City                                                      Zip                 

Graduating Class of                    Birthday                        E-mail                          ______ Parish                                     

School attending                                                 School activities                                                                                   

Any other activities (including parish)                                                                                                                             

Why do you want to be selected to serve on the Diocesan Youth Council?                                                                       

Have you spoken with your parents about serving on the Youth Council?                         

Do your parents know about your commitment to attend all meetings?                             

Do you have a means of transportation to the various parts of our Diocese for the meetings?                    

If not, will your parents allow you to car pool with other members of the Council?            

Parent’s/Guardian’s Name (printed):                                                                                                                             

Parent/Guardian Signature:                                                                                                                                          

Pastor’s Signature:                                                                                                                                                    

Youth Minister’s Signature:                                                                                                                                        

What are some strengths that you will bring to the Diocesan Youth Council?                                                                                                                                                                                                                                                      

What are some weaknesses that you may bring to the Diocesan Youth Council?                                                              

Generally speaking, how do you act in a group? (i.e. shy, loud, organizer, leader, sensitive to others, etc.)?

How do you think this experience will benefit you personally?                                                                                         

Diocesan, State, Regional and National Youth Ministry events in which you have participated (if any):

Candidate’s Signature                                                                                        Date