GoTeam Pastors Spiritual Referral Form for
(applicants name) _________________
The Applicant has chosen you as a reference and we would like you to give us your opinion regarding their fitness or ability to participate on a short-term mission. This is confidential!
· What is your relationship to the applicant (check all that apply)
· How long have you know the applicant?
· Why do you think the applicant wants to be a part of a mission project?
· Which of the following describe the applicant (In your opinion) Circle the number of all that apply!
· Comments relating to any of the items above: (Please detail on back or on separate sheet)
· Use this code for the following questions! Circle: G-Good, A-Average, P-Poor, N-No basis to answer.
1. What is the Mental condition of the Applicant? G A P N
2. How doe the Applicant relate to Authority? G A P N
3. How does the Applicant's Peers relate to Him/Her? G A P N
4. How would you rate the Applicant's Leadership ability? G A P N
· What part does the Applicant play at His/Her Local Church?
· Does the Applicant have any Social/Moral habits that we should know about?
· Do you have any reservations about or lack confidence in the applicants ability to minister on a short term mission project? (please explain)
· Please read the following and mark the answer that closest represents your recommendation level for this applicant.
Signature: __________________________ Name: _________________________________________
Phone: _____________________________ Address: _______________________________________