Missions Application Pastors Reference

Dear Pastor, an applicant has a desire to be a part of a RMMN Missions trip. Serious consideration will be given to your evaluation of the applicant's character and fitness for the team. We need to know as much as possible about our applicants in order to make a fair assessment of their qualifications and match all applicants to the best possible ministry opportunity for them. Please be honest and candid, as your comments will be held in the strictest confidence.

If you have additional questions or clarification about this refrence please contact us at cmd@rmdc.org or by phone at (719) 522-0195.

-RMMN Church Mininstries Department

Name of Person you are writing a reference for*

Your Name (Pastor)*

Church Name*

Church Address*

Church City*

Church State*

Zip code of Church*

Your Phone Number*

Please enter a valid phone number.

How long have you known the applicant*

How well do you know them?*

By Face/NameCasuallyFairly WellVery Well

How would you best describe the applicants in the following areas?

Rows	Excellent	Above Average	Poor	Unknown
Adaptability
Servant Hood
Dependability
Maturity
Spiritual Life
Leadership Ability
Responsive to Authority

How would you rate the applicant in each are?

Rows	Often	Seldom	Barley	Never
Procrastinates
Positive
Critical
Irritable
Loyal
Truthful
Depressed
Defensive
Argues
Genuine
Approachable
Complaining
Teachable Spirit
Mood Swings
Works well with others
Has a team Spirit

Do you believe the applicant to be a well-grounded Christian?*

YesNoSomewhat

Does the applicant faithfully attend church services?*

YesNoSomewhat

Is the applicant active in your church?*

YesNoSomewhat

Are you aware of any mental or emotional illness or instability in the applicant?*

YesNo

Please explain the mental or emotional illness of the applicant.*

Do you believe any reason to question the applicant's morals?*

YesNo

Does the applicant work well with others?*

YesNo

Do you have any reasons to lack confidence in the applicant?*

YesNo

To the best of your knowledge, does the applicant use drugs, alcohol, and/or tobacco or have they been convicted for illegal use of these items?*

YesNo

Does the applicant have a current (within the last two years) background check on file with the church?*

YesNo

Do you believe the applicant would be a positive or negative influence on this mission trip? Please explain.

Would you recommend the applicant for the mission trip?*

Strongly recommendedRecommendedRecommended with ReservationNot Recommended

For more information or any questions or email at cmd@rmdc.org. Please email the completed form to the email listed above or mail to Rocky Mountain Ministry Network Attn: CMD

In addition to this form, all adult participants must receive a background check prior to attending the trip. IF your church has completed one within the last two year.

Pastors Signature*

Date*

Date