NCYC Cultural Diversity Youth Forum Nomination Form
Please use this form to nominate a teenager from your delegation to participate in the Cultural Diversity Youth Forum. Please make sure your review the criteria for youth participants before completing this form.
NOTE: If you have already received a scholarship for youth participants to attend the Forum through the USCCB, you do NOT need to complete this form. The information requested here would have been collected as part of your process to request scholarship for the event.
We are looking for your help in identifying a youth participant from one of the six cultural families (that are identified by the USCCB) who will be represented at this Forum:
- Asian Pacific Islander
- European American
- Hispanic / Latino
- Native American
- Migrants, Refugees, and People on the Move
Each diocese/delegation is welcome to nominate one (1) young person from each cultural family, but no more than three (3) youth in total (across all cultural families). They should already be part of your diocesan delegation. The nominees should also be able to participate in a video conference call prior to NCYC to help them prepare for their participation in the Forum.
Other requirements include:
- An awareness of their own cultural identity, which may include identification with more than one cultural and ethnic family
- A willingness to share from their own experiences
- The ability to participate and share in English*
If you have questions, please contact Darius Villalobos, NFCYM Director of Multicultural Ministry, if you have any questions: 202-753-8920 or
Name of diocese / delegation
Name of Delegation Leader (person making nomination)
Full name of nominee
Age of the teenager at time of NCYC (November 2019)
Year in school of teen during NCYC 2019
Cultural community they represent
Asian / Pacific Islander
Multicultural (please specify which cultures in the "other" area)
Why would you recommend this youth for participation in the Cultural Diversity Youth Forum?
Will the teen need translation assistance?
If so, what language do they need translation to? (English to ______)
Will the teen have a chaperone that can accompany them to the Forum, if needed?
Best email to contact adult who can share info with nominee
Adult contact's name
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