Church Leader Endorsement

Church Leader Endorsement
EVALUATOR: The Applicant listed below is applying for a ministry staff position or to serve on a training trip with KidZ at Heart International. Please fill out and submit this form to KidZ at Heart. Thank you.
Name of Applicant*

First NameLast Name
Name of Reference*

First NameLast Name
Best Contact Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Relationship to Applicant (Check all that apply):*

PastorOther Church LeaderMinistry SupervisorShort-Term Missions LeaderOther
How long have you known the Applicant?*
During what years?*
How well do you know the Applicant? Please give detailed description.*
Personal Character & Appropriateness for Work with Minors
Does the Applicant engage in the inappropriate use of drugs?*

YesNoUnknown
Does the Applicant use tobacco in any form?*

YesNoUnknown
Does the Applicant engage in the excessive use of alcohol?*

YesNoUnknown
Is the Applicant prone to the use of pornographic materials?*

YesNoUnknown
Does Applicant engage in any form of inappropriate sexual behavior?*

YesNoUnknown
Has the Applicant ever been accused of wrongdoing with a minor?*

YesNoUnknown
Has the Applicant been arrested for, accused or convicted of a crime?*

YesNoUnknown
Please explain any "Yes" answers above:
Personal & Spiritual Maturity
Does Applicant represent what I believe to be a godly Christian lifestyle?*

YesNoUnknown
Is the Applicant regular in church attendance and involvement?*

YesNoUnknown
Does Applicant work well with others in a variety of situations?*

YesNoUnknown
Does Applicant deal well with stressful situations?*

YesNoUnknown
Does Applicant maintain healthy relationships at work and home?*

YesNoUnknown
Does Applicant have the spiritual maturity to work with children and adults?*

YesNoUnknown
Please explain any "No" answers above:
Ministry Skills & Abilities
Does Applicant work well with children of a variety of ages?*

YesNoUnknown
Is Applicant able to lead adults in accomplishing church work?*

YesNoUnknown
Is Applicant an accomplished teacher and leader?*

YesNoUnknown
Is Applicant able to recruit other adults for ministry tasks?*

YesNoUnknown
Is Applicant able to administrate a variety of ministry details?*

YesNoUnknown
Please explain any "No" answers above:
General Concerns
What concerns, if any, would you have trusting this Applicant to care for your own children?
Is there any reason we should not consider placing this person in a position of responsibility with children and/or youth?

YesNo
If you answered yes above, explain:
Please tell us anything additional that we should know about this Applicant.
By pressing Submit, you are acknowledging that all of the information above is correct.
Should be Empty:

Church Leader Endorsement

Personal Character & Appropriateness for Work with Minors

Personal & Spiritual Maturity

Ministry Skills & Abilities

General Concerns