Illinois/Wisconsin
District SrHi Youth Cabinet
Pastor/Mentor Recommendation

 

Name:   _______________________________________________________________________

Address: _____________________________________________________________________

             ______________________________________________________________________

             ______________________________________________________________________

Congregation: ______________________________________________________________

Phone: ____________________     email address: ________________________________

Youth's Name: ___________________________________________________________

What strengths and weaknesses would this person bring to the IL/WS District Youth Cabinet?

 

 

 

 

What is your relationship with the applicant?

 

 

 

 

Please complete this form and mail by August 11th
Send to Jim Miner, 117 N Aldine Ave, Elgin IL 60123

Extra copies of this form may be found online at  http://www.cobyouth.org