Pastor's Reference Form

Pastor's Reference Form

Iowa Regular Baptist Camp
This form should be filled out by the pastor or deacon chairman. Your comments play an important role in our hiring process. Thank you for your time and willingness to complete this form for our summer staff application process.
Your Information:
Name *

First Name Last Name
Phone *

Area Code Phone Number
E-mail *
Position *
Church Name *
Church Address *

Street Address

Street Address Line 2

City State

Zip Code
Reference Information
Applicant's Name *

First Name Last Name
Type a question *

Full Time Summer Staff Part Time Summer Staff (Highschool)
How long have you known the applicant? *
How well do you know the applicant? *
Does the applicant profess to be born again? *
Is the applicant currently a member of your church? *
Is the applicant living a consistent Christian life? *
What evidence of a Christian testimony have you observed? *

Please indicate your observations in the following areas: *

Outstanding

Good

Needs Improvement

Definite Problem

Not Observed

Leadership Ability

Relationship to the Opposite Sex

Cooperation

Integrity

Ability to get along with others

Faithfulness

Attitude towards Authority

Overall Attitude

Testimony/Reputation

Comments about the above section:
In your opinion, does this person possess any outstanding abilities? *
Does this person have any questionable habits? *
Please comment on the applicant's...
Church Attendance: *
Ministry Involvement: *
Family Background *
To the best of your knowledge, has the applicant ever been involved in, investigated for, or convicted of child molestation, abuse or a felony? *

Yes No
Please comment on any other information IRBC should know that might affect the hiring of this applicant:
I would recommend this applicant to IRBC: *

With Enthusiasm With Confidence With Reservation Not Recommended
I wish to be contacted regarding this applicant: *

Yes No
Today's Date
Should be Empty:

Your Information: