Pastor Questionnaire

Alton Bay Campmeeting Association

DBA Alton Bay Christian Retreat Center

PASTORAL REFERENCE QUESTIONNAIRE
The applicant(s) listed below has either applied to purchase a Cottage at the Alton Bay Campmeeting Association DBA Alton Bay Christian Retreat Center, and/or is applying for membership and has presented your name as a reference as their pastor.

Please visit https://form.jotform.com/252954350822155 to review some basic information about our ministry in the form of our Statement of Mission, Statement of Faith, and basic rules and regulations of our Association. Only potential tenants will actually fill that form out, but it has good information on it. Below, please answer the following questions and provide any other information that may be helpful to us in making a decision.
Applicants(s) Name:*
Please provide your contact details:
Full Name:*
Church:*
Position:*
Denomination:*
Full Address (Street, City, State, Zip):*
Phone:*
Email:*
example@example.com
Website (if available):
1. To your knowledge, does the applicant(s) use tobacco, illegal substances, or partake of alcohol?:*

YesNo
If you answered "Yes" to the previous question (1), please explain.:
2. How long have you known the applicant(s)?:*

Less than 6 months6 months to 1 year1-3 years3-5 yearsGreater than 5 years
3. How would you describe the applicant(s) character/morals?:*
4. How would you describe the applicant(s)' level of involvement in your church?:*

Very involvedSomewhat involvedRarely involvedNot involved
If you have any additional comments for the previous question (4), please explain here. Otherwise, you may leave blank.:
5. How often does the applicant(s) attend?:*

WeeklyBi-WeeklyMonthlyNot frequentlyChristmas & Easter only
6. Does the applicant(s) still attend the same church as the one that you pastor?:*

YesNo
7. Is the applicant(s) a financial supporter of your church?:*

YesNoUnsure
8. Does your church have traditional membership?:*

YesNo
If you answered "No" to the previous question (8), how do you recognize and measure the applicant(s)' participation?:
9. Does your church's statement of mission, faith, vision, and values align with the Alton Bay Campmeeting Association?:*

YesNo
If you answered "No" to the previous question (9), please explain.:
10. What is your church's statement of mission, faith, and values?:*
11. What can you tell us about the applicant(s)' spiritual life and how that is demonstrated?:*
12. Does the applicant(s) participate in other activities beyond Sunday morning services?:*

YesNo
If you selected "Yes" to the previous question, please check all that apply.:

Serve on various committees within the churchLead a small groupVolunteer within the churchVolunteer outside the churchAttends Sunday night servicesAttends Bible Study / Sunday School / Small GrouosOther
In this text box, please list any additional comments regarding the applicant(s)' participation.:
13. Based on all the information we have provided regarding our Association, can you recommend WITHOUT RESERVATION that the applicant(s) would support the spiritual ministry and be active in the programs of the Association? (Please select one):*

YesNo
Signature of Pastor:*

Clear
Date:*

MonthDayYear
Date
If there are any supporting documents that you would like for our office to take a look at, please upload them here. Otherwise, please skip and proceed.

Cancelof
Please verify that you are human*
Sincerely,

Jonathan Tymann

Executive Director

Phone: (603) 875-6161
Should be Empty: