UMYFP MEMBERSHIP FORM (Biennium Year 2010-2012)

______________________________ _________________________ ______________________________

Local Church District Annual Conference

Birthday Sex Educational Attainment

Name Age Contact No. Email
(mm-dd-yyy) (M/F)
E HS C OSY W
1
.
2
.
3
.
4
.
5
.
6
.
7
.
8
.
9
.
1
0
.
1
1
.
1
2
.
1
 1
4
.
Please use another sheet or the back page if needed.
Legend: E – Elementary HS – High School C – College OSY – Out of School Youth W – Working

OFFICERS Department Heads

President: Information, Communication and Resources:
Vice-President: Ecumenical and Church Society Affairs:
Executive Secretary: Christian Nurture and Formation:
Finance Officer: Finance Department:

Recommended by: ___________________________ Certified by: ____________________

Annual Conference President Administrative Pastor