ACYOA Information Sheet

Please print on this form and return it to Jennifer Morris, Coordinator of Youth Outreach.

Name________________________________________ Birth Date _______/_______/___________ mm dd yyyy

Mailing Address___________________________________________________________________

City ________________________ State_________ Zip Code_____________

Home Phone___________________________ Cell Phone______________________________

E-mail _____________________________ AIM Screen Name _______________________

Do you use Facebook? ________________ Do you use MySpace? ____________________

Parish (Church)____________________________________________________________________

Are you active in your local ACYOA chapter? Yes or No

Do you have a youth advisor that work with your group? Yes or No

If yes, who? ______________________________________________________________________

What kind of activities do you do with your church youth group?

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What kinds of activities would you like to do with your church youth group?

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I send out a monthly e-mail to ACYOA Juniors (13 -18) throughout the Eastern Diocese to help keep

us connected. HYE-mail includes a section called Clergy Corner (a message from a clergyman),

Words to Live By (biblical passage, reflection or quote from our church fathers), Upcoming Events,

You’re Kidding (a funny story/joke), In Your Words (thoughts written by a young Armenian teen)

and Jenni’s Journal (an update of what I’m doing and where I am going). Do you have ideas of what

you would like to see included in upcoming HYE-mails? What would young people like you be

interested in reading? Please try to think of at least one thing. I appreciate and value your input!

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