Missouri State Council
Knights of Columbus
Youth of the Month Application

Youth’s Name: Parents:

Address:

Phone: Council Number of Father:

Current School: Date of Birth:

Describe reason for nominating the outstanding youth (attach additional sheets as necessary)

Please list activities/hobbies/affiliations/awards/etc (attach additional sheets as necessary)

Proposed by:

Address & Phone:

Please return your application to:

David Dillon,

YOUTH DIRECTOR

RT. 2 Box 143,

Marshall, MO 65340

Applications due on the 1^st of the month (September, November, January, March, May, July)

Nominees must be son or daughter of a Knight/Lady in good standing or be a Squire or Columbus Girl

Nominees must be under the age of 18

There is no limit to the number of applications per council per month