Spiritual Leader's Reference Form

Pastor, ministry leader, or mentor reference form

Please fill out this reference form for a person who is applying to work with Campus Target, a missions organization. Thank you very much for your time.
Your Information
Your Name*

First NameLast Name
Your Phone Number*
Format: (000) 000-0000.
Your E-mail address*
example@example.com
CT Applicant's Name*
Your Role*
Pastor, college ministry leader, etc.
Church Affiliation*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Applicant Reference
How long have you known the applicant?*
Casually (Few personal contacts)Fairly Well (Many personal contacts)Very Close
YesNo (Please explain below)I don't know (If you do not know please explain below)

How would you rate the applicant in the following areas:*

Rows	No chance to observe	Needs Improvement	Average	Above Average	Excellent!
Leadership Skills
Social Skills
Responsibility
Initiative
Cooperativeness
Health
Honesty/Integrity
Emotional Stability
Spiritual Stability
Moral Character
Christian Commitment
Self-Confidence
Diligence
Cultural Adaptability
Flexibility
Submission to Authority
Accepts Instruction & Discipline
Warmth of Personality
Concern for Others

What are the applicant's major strengths?
What are the applicant's major challenges or weaknesses?
Are there any negative family factors which might affect the applicant's success with Campus Target? If yes, please explain:
What other influences does the applicant have in their life? Anything in their history that is concerning?
How has the applicant maintained stability in unstable situations?
Highly RecommendedRecommendedRecommended with reservation*Not Recommended*
*Please explain:
Please share any other information that may help us in the evaluation of this person as a team member:
Should be Empty:

Pastor, ministry leader, or mentor reference form