Church Name:

 Address:    City: Zip Code:

 Church Phone:    Church Website:

 Youth Ministry Website:       Church Email Address:  

Youth Director / Worker Email:

 Tell us about your church

We have a Youth Ministry      

We have no organized group, but have youth (Grades 6-12) who are active in the church

We presently have no regular youth (Grades 6-12) who are active in the church

We have a  young adult ministry

 If you have a Youth Ministry, please respond to the following:

 Youth Ministry Leadership

 no leader    ministry led by volunteer(s)  paid part time youth leader    

 full time youth leader     currently looking for a youth leader

Ministry:                 

Schedule of meetings: 
How often do you meet? weekly   monthly     other

 What days do you meet?    

   Est. Number of Youth:                                                                  

 Participation of membership:

  Very Active           80% average attendance on a regular basis

 Fairly Active                   40% - 80% average attendance

  Somewhat Active 40% or lower

What does your group do well?

What are some of your group’s struggles:

Your group’s greatest need:

What sort of support could you use from the District Youth Ministry Council ?

Would you be interested in being a part of the newly formed District Youth Ministry Council?

What events/activities would you like to see offered in the district for the youth?
 

If your church does not have an organized youth group, how could the District Youth Council assist you?
 

 Other Comments: