Name of Applicant
Pastor Filling Out Form
Church You Serve In
Phone Number Where You Can Be Reached
Your Address
City
State
Zip Code
How long have you known the applicant?
In what capacity?
Please answer the following questions as honestly as possible. In comparison to the average Christian adult, rate the applicant on a scale of 1 to 10, 1 being poor, 10 being excellent.
Bible knowledge 12345678910
Consistent and growing in their faith 12345678910
Actively serving in home church 12345678910
Careful in use of time 12345678910
Able to get along with people 12345678910
Able to display a good sense of humor 12345678910
Able to adjust to new situations 12345678910
Able to lead or follow on occasional demands 12345678910
Willing to accept work assignments and do them cheerfully 12345678910
Able to demonstrate mature relationships with the opposite sex in a co-ed setting 12345678910
If applying for the position of a counselor, is he/she the kind of person you would entrust the care of your child with for the summer? Yes No
If no, please explain
Please select your recommendation for this applicant: Please select: Highly Recommend Recommend Recommend with Reservation Cannot Recommend
In lieu of a signature, please type your full name.
Date Signed
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