NM NazSafe Children and Youth Worker Pastoral Approval

Children and Youth Worker Pastoral Approval

New Mexico District Church of the Nazarene - NazSafe Program
Thank you for being willing to provide a Pastoral Recommendation for one of our Camp Counselors or Workers. Please fill out the information requested and then press the Submit button.

If you wish to print out a copy for your records, press the Print button before you Submit the form.
Applicant's Name

First NameLast Name
Pastor's Name

First NameLast Name
Church Name
Phone Number

Area CodePhone Number
Your E-mail
I believe the above named applicant has the appropriate spiritual development and maturity to minister to children as a Counselor/Worker at the New Mexico District events and therefore recommend him/her to serve.
The above named applicant has successfully completed and passed a level four or higher Ministry Safe (or approved equivalent organization) background check through your local church or New Mexico District within the last two years.
Date completed background check

MonthDayYear
Date
The above named applicant has successfully completed and passed both the Ministry Safe (or approved equivalent organization) Sexual Abuse Awareness AND Peer to Peer trainings through your local church or New Mexico District within the last two years per the New Mexico District Naz Safe Policy.
Date completed Sexual Abuse Awareness training

MonthDayYear
Date
I recommend, without reservation, the above named applicant to work with children and/or youth at this New Mexico District event.
Comments:
Signature - Use computer mouse to sign (or finger/stylus if using a touch screen).
Should be Empty: