St. John Bosco Diocesan Award

April 19, 2012

6:30 PM

Executive Banquet Center

SECTION ONE

Please tell us about the person filling out this form in case we have questions. Please note: all correspondence after this form is submitted will be via electronic mail. Nominations may be completed online only. Late or incomplete forms will not be accepted. Deadline for submission is March 15th.

SECTION TWO

Please tell us about the person whose name you are nominating for the St. John Bosco Diocesan Award and briefly describe why you are nominating this person as an award recipient. The script should be 75 words or less. CYM reserves the right to edit this information for available space.

This person must meet all criteria to receive this award.

SECTION THREE

The person filling out this form must indicate that the Pastor or Principal approved this submission.

Section One

Person filling out this form

Name*

Title*

 

Parish*

Email*

Work Phone Number*

 

Section Two

I would like to nominate this person to receive the St. John Bosco Award from the category selected

Award Recipient Name (as it should appear on an award)*

Parish/School*

Address*

 

City* State* * Zip* *

 

Email

Years of Service in Ministry*

 

Briefly describe why you are nominating this person in 75 words or less* This field is required.

Please select one of the categories in Outstanding Youth Ministry* Please choose one.

parish or diocesan youth ministry

in a Catholic School

as a clergy or religious

in athletics

in catechsis

in Boy Scouts

in Girl Scouts

to young adults

in multi-cultural setting

 

Section Three

By checking this box I confirm the Pastor/Principal of my parish/school has reviewed and approved this nomination* This field is required.

Pastor Approval