PASTOR RECOMMENDATION FORM

Pastoral Recommendation Form

(required for all Adult Participants)
Church Name *
Pastor Name *
Pastor Email: *
example@example.com
Participant's Name: *
Gender: *

Male Female
How long have you known this participant? *
Example: 5 years

Based on your knowledge of this participant, please rank the following: *

	Excellent	Good	Average	Fair	Poor
CHARACTER - high morals, integrity, honesty, sincerity, good example
LEADERSHIP - strong yet kind, enthusiastic, accepts responsibility, industrious
REPUTATION - well thought of in church and /or at home, respected by contemporaries
MATURITY - self-disciplined, sound judgment, displays stability
HEALTH & VITALITY - able to endure a vigorous schedule while supervising teenagers
ATTITUDE - cooperative, pleasant, able to work with other as part of a team, good disposition
PATIENCE - able to understand and meet needs of others, high-tolerance
SPIRITUAL ROLE MODEL - portrays a Christ-like lifestyle, above reproach

Character Questions: *

	Yes	No
1. Would you be willing to have your children under the participant's supervision during the week of Youth Camp?
2. Is this participant currently under church discipline or receiving any ongoing counseling?
3. Is there any reason this participant should not participate in BPYC?
4. To your knowledge, has this participant been involved in any inappropriate conduct including, but not limited to, sexual abuse or homosexual tendencies?

Comments: *
If no comments, please put "N/A"
By my signing below, I am recommending the above-reference participant as a Counselor or Volunteer for BPYC.
Pastor's Signature *

Clear
Today's Date *

Month Day Year
Should be Empty: