2019-2020 CCYM Adult Application

The term of service is September 2019 to August 2020. Requirements include the following:

  • Be an active member of your local United Methodist Church and youth group.
  • Attend all five meetings listed below. CCYM meetings are mandatory for ALL members and will take place at Providence UMC in Charlotte. 
    • September 6th and 7th, 2019 – Overnight Retreat (REQUIRED)
    • November 9th, 2019
    • January 11th, 2020
    • March 14th, 2020
    • May 9th, 2020
  • Work on the staff of IgniteUS, middle school retreat. IgniteUS will be April 24th, 25th, and 26th, 2020, at Camp Hanes in King, NC. (When you serve on staff for a WNCC youth event, you will need to pay a staff registration fee. Funds may be available from your local church or district.)
  • All Adult CCYM members will be required to complete a criminal background check. Returning members will be required to complete a new background check every three years.
*First Name
*Last Name
*Address 1
*Address 2
Home Phone
Office phone
Cell Phone
*May we text you?
*T-shirt size
*Do you have Facebook?
*Preferred method of communication
*What church are you a member of?
*In which city is your church located?
*Pastor's name
*Youth leader's name
*Do you regularly (weekly) attend worship at your local church?
*Do you work with youth in some capacity in your local church, district or community?
*Briefly share your faith journey with Christ.
*Why do you want to serve as an adult representative on the Conference Council on Youth Ministries (CCYM)?
*What skills, talents and interests do you have to contribute to the CCYM team?
*Describe your leadership experience in your job and community.
*What United Methodist camps, retreats and/or activities have you participated in within your district and/or the conference?
*Are there any activities you will be involved in during the upcoming year that may prohibit you from attending any of the mandatory CCYM meetings? (E.g.,job, family obligations, church or community responsibilities, etc.)

This is very important. Please be honest about your ability to make this commitment.

*Please upload a letter of recommendation from your pastor or youth leader.

If you are a pastor, the letter can be from your staff-parish chairperson or youth leader.

Attach file pdf, doc(x), xls(x), jpg/gif/png, ppt - up to 25 MB

*Please upload a photo of yourself

Attach file pdf, doc(x), xls(x), jpg/gif/png, ppt - up to 25 MB

I have read and understand that I will make every effort to attend the five mandatory meetings and meet the other requirements listed on this application. Failure to do so could mean I forfeit my place on the CCYM for the remainder of the year.


Enter your name below. By typing your name and signing in the area below you are verifying your name and date of this signature

Draw your signature below.
clear signature
Your browser is not supported or has JavaScript turned off. To register use a different browser or turn on JavaScript.