LYO 2022-2023 Adult Reference
Thank you for serving as an adult reference for an LYO applicant! The applicant's entrance into the LYO cannot be considered until this form is submitted, so please complete it before July 10th. Once you click "Submit," you will see a confirmation message and receive a copy of your submission in your email. If you have any questions, please email Pastor Christine or Mark Parker at
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Applicant's first name *
Applicant's last name *
Applicant's congregation name *
Applicant's congregation city, state *
Your first name *
Your last name *
Your email *
Your phone number. Please share the best number that we can use to reach you. *
Best time to call - select all that apply *
How do you know the LYO applicant? *
On a scale of 1-5, please rate the applicant's current abilities in the following skill areas. 1 indicates no skill, 5 indicates that it is a highly developed skill area for the applicant. *
Ability to work with others
Managing your own schedule
Public speaking
Leading others
Receptiveness to feedback from others
What are the two best qualities of this applicant? You may speak more about the skills mentioned on the list above, or you may speak about different qualities of the applicant. *
What is one area where you hope to see this applicant grow? You may speak more about a skill mentioned on the list above, or you may speak about a different growing edge of the applicant. *
This young person is applying to be a member of the Lutheran Youth Organization. They will be a leader for the youth in the Metro D.C. and Delaware-Maryland Synods and in their home church. Why do you think this young person is well suited to answer this call to serve the church? *
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