AIM/Expeditions Pastoral Reference

-Pastoral Reference-
You have been asked to complete this form for a student applying for a short-term missions trip through the Assemblies of God Ambassadors in Mission (AIM) and/or Chi Alpha Expeditions program. Your cooperation in answering the following questions will help us decide whether the applicant will fit into either program. We appreciate you taking the time to complete this form, please know your insight will be kept confidential.

Please note that reference forms cannot be completed by relatives or spouses of the trip participant. Thank you!
AIM Applicant Name - NOT your name as the reference

First NameLast Name
I have been personally acquainted with this applicant for number* years.
How well do you know the applicant?
How involved is the applicant in church?
What special talents has he/she shown?
What special leaderships abilities has he/she shown?
To your knowledge has the applicant participated in the use of intoxicants, tobacco, or illegal drugs?
If yes, please explain:
Do you know of any reason why the applicant wouldn't be suitable to participate on an AIM trip?
If yes, please explain:
Christian Life
Social Adaptability
Ability to get along with others
Leadership
Teachableness
Cooperation
Motivation
Respect towards Authority
Emotional Stability
Healthy
Assemblies of God Ambassadors in Mission (AIM) and/or Chi Alpha Expeditions requires the local church to have a current background check on file in church records for all Assemblies of God Ambassadors in Mission (AIM) and/or Chi Alpha Expeditions 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.
Background report and references are on file in church records (required for those 18 years+)
Recommendation
Additional Comments:
Please Complete:

The person providing reference may not be related to applicant. If you are the senior pastor at your church completing this form for a relative, please have another staff pastor or church board member complete this form.
Name of Pastoral Reference (Your Name)

First NameLast Name
Church Name
Your Church position:

Other
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)
Date Signed
approval
Should be Empty:

-Pastoral Reference-

Please Complete: