Royal Ranger Leaders - Pastoral Reference 2022

2022 Royal Ranger Leaders - Pastoral Reference

Required for Adults (18 yrs. & Older) Person providing reference may not be related to applicant. Lead Pastor or designated staff pastor or church board member are the only people to fill out this form
Applicant Name - (filled out by designated leader only)*

First NameLast Name
I have. been personally acquainted with this applicant for number* years.
Spencer Lake Summer Camp requires the local church to have a current background check on file in church records for all Spencer Lake Summer Camp participants who are 18 years of age or older.
Frequency of Background Checks: Current insurance standards state that it is important to set a policy and follow it. A minimum standard to follow would be to conduct a background check once as long as the volunteer is in continuous service. This means that she/he serves continuously without being off for more than 1 year and 1 day.
In what capacity is applicant currently serving:*
Limitations/Weaknesses we should be aware of:
Background report and references are on file in church records (required)*

YesNo
Recommendation*

Yes, I am personally acquainted with applicant and in my opinion declare that applicat is competent and qualified to work with minors. I have no knowledge of facts or allegations that raise any question concerning his/her suitability and trustworthiness for working with minors.No, Based on my knowledge of applicant I DO NOT recommend him/her to work with minors.
Trustworthiness

I am personally acquainted with applicant and in my opinion declare that applicat is competent and qualified to work with minors. I have no knowledge of facts or allegations that raise any question concerning his/her suitability and trustworthiness for working with minors.
Non Recommendation

Based on my knowledge of applicant I DO NOT recommend him/her to work with minors.
Additional Comments:
Please Complete:

The person providing reference may not be related to applicant - in that case another staff pastor or church board member may complete the form.
Person Completing Form Name*

First NameLast Name
Church Name*
Your Church position:*

Lead PastorStaff Pastor
Church Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Office Phone*

Area CodePhone Number
Cell Phone

Area CodePhone Number
Email*
example@example.com
Signature (use cursor or finger)*

Clear
Date Signed
approval

ApprovedNot Approved
Should be Empty:

2022 Royal Ranger Leaders - Pastoral Reference

Please Complete: