Archdiocese of Hartford - Office of Religious Education and Evangelization 2014 Discipleship Award (Youth Recognition) Recognition Ceremony is Tuesday, June 17th at St Jerome, New Britain This award is given in recognition of a parish/school recommendation to confer upon Catholic youth who have exercised their baptismal call, served as role models in terms of Mass attendance and Catholic Social teachings, selflessly serving their peers with unwavering commitment and dedication. To be considered, the candidate must:  Be recommended by the CYM, DRE, Pastor, Campus Minister, or Principal  Be a Senior in High School and have been involved in Comprehensive Youth Ministry for all FOUR years of high school  Have made a significant contribution to the spiritual welfare of their peers and Youth ministry Recommending Parish/School________________________Town _________________ Address: _____________________________________________________ Zip ____________ CANDIDATE _______________________________________ Birth Date ___________ Address ______________________________ City _________________ Zip_________ Phone_________________________ E-MAIL __________________________ Name of High School ___________________________ Parish (if different from above)________________ College planning to attend ________________________Years in CYM ________ Candidate’s names and colleges will be listed in a small booklet to be distributed at ceremony. Comprehensive Youth Ministry - Check all that apply and give a brief description of the scope of the candidate’s involvement as a participant or as a leader (see back for explanation of CYM). How did the candidate impact the spiritual welfare of other youth in the parish/school? Why does this candidate deserve this award? Use back of form if needed.  Advocacy:  Catechesis:  Community building:  Evangelization:  Justice & Service:  Leadership development:  Pastoral Care:  Prayer & Worship: Signatures below attest that the above named candidate is a member of the above parish/school, is known and recognized as a Catholic in good standing, and is qualified to receive this award . Coordinator of Youth Ministry/DRE/Campus Minister/Principal/Priest: Name _________________________ Signature ________________________ Phone ___________ Pastor: Name __________________ Signature_________________________Phone ____________ _______________________________________________________________________________________________________________________ OFFICE USE ONLY: Date received at OREE _____________ Application Fee ($10.00) pd _________ Ck #_______ Return by Monday, April 11th to: ORE AWARDS 467 Bloomfield Ave. Bloomfield, CT 06002-2999 860-242-5573 ext 2670 [email protected] 860-243-9690 (fax) (revised 2/19/2014)