To be completed by a Pastor, Youth Leader, or other designated church/Christian school leader. Serious consideration will be given to your evaluation. We value you as a reference concerning the applicant’s character and fitness for short-term missions. We need to know as much as possible about our applicants to make fair appraisals of their qualifications, matching all applicants with the best possible ministry opportunities for them. Your response will be held in strict confidence. We appreciate your prompt completion of this form. Applicant’s Name* First Last Applicant applying for*Campus InternSummer StaffMissions ProjectPastor's Name* First Last Pastor's Phone*Church Name*Church's Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Pastor’s Relationship to Applicant*How long have you known this applicant*How many years / monthsHow well do you know him/her?By face/nameCasuallyFairly wellVery wellWhich of the following best describes the applicant?* Adaptable Servant Dependable Great Spiritual Life Mature Responds to Authority Leadership Ability Spiritual Influence on Peers Other: Other: please describe*Please place a mark beside any of the following characteristics which you observe in this individual* Procrastinator Critical Spirit Irritable Inclined to crushes Depressed Argumentative Domineering Poor work ethic Unmotivated Lack of initiative Other None of the above Other: please describe*Please comment on the activity and role of the applicant in the church*To your knowledge, has the applicant’s interest in missions been influenced by a desire to escape a difficult situation such as family problem, financial struggles, or a troubled relationship?*YesNoIf Yes, please explainAre you aware of any mental or emotional illness or instability in the applicant?*YesNoIf Yes, please explainTo your knowledge has the applicant ever used tobacco, alcohol, or illegal drugs?*YesNoIf Yes, please explainHave you ever had any reason to question the applicant’s morals?*YesNoIf Yes, please explainDo you have any reason to lack confidence in this applicant?*YesNoIf Yes, please explainTo your knowledge, has the applicant had a salvation experience?*YesNoIf No, please explainWe would appreciate any additional comments you might have concerning the applicantPlease use this space to describe or upload a MSWord doc or PDF fileUpload a document with additional commentsAccepted file types: pdf, rtf, txt, doc, docx.What Campus Interns are responsible forWhich crew position best fits the applicant:* Recreation (leadership over pool, gym, alpine tower, high swing and other facility recreation) Food Services (Prep meals, cleanups, serving) Outdoors/Grounds (Grounds keeping, such as weed whacking, leaf blowing, mowing, etc.) Housekeeping (Facility upkeep, Room checks, room maintenance) Each Intern will also be assigned to one or more of our specific crews. Campus Interns will be responsible for specific duties within the crew and will be supervised by a Crew Coordinator. They will be placed in a crew depending on the crew needs and mostly the abilities of each Intern. Do you feel the applicant is capable of these duties?*YesNoIf NOT please explain?*Also, if you believe that the applicant has special aptitude or experience in one or more of the areas listed above, please check that area (above) and explain why****NOTE: While there will be supervision in all the areas that the applicant will be participating in, with more supervision at the beginning of the summer term and gradually decreasing as the summer progresses and the applicant learns his/her duties, do you feel that the applicant works well in an environment where they will be depended upon to accomplish certain tasks daily/weekly without constant supervision? Why or Why Not?*What Summer Staff are responsible forEvery Intern that we enlist will be taught how to lead a small group of 10-20 students as well as taught specific duties while at camp as part of a crew. We will also have leaders from around the country teach our staff throughout the summer on biblically based youth ministry. Ministry Task #1: Small Group Leader As a small group leader Interns will be responsible for leading their small group of students in a short 15-20 minute bible study from material that we supply. They would also be responsible for engaging the students in conversation about the material and sermons and be there to minister to the students, but any in depth counseling will be directed to the youth leader and adult chaperones. This person would also have to help lead students in games, both physical and mental. and be a source of energy and leadership for their small group.Do you feel that the applicant is capable of these duties?*YesNoIf no, please explain*Ministry Task #2: Crew Position Each Intern will also be assigned to one or more of our specific crews Which crew best fits the applicant* Technical (sound, lights, video) Registration & Product (organization, etc.) Recreation (setting up and leading) Platform (drama, worship team, set design and set up, conference) Mission Track (helping youth groups engage in nearby ministry projects) They will be responsible for specific duties within the crew and will be supervised by a Crew Coordinator. They will be placed in a crew depending on the crew needs and mostly the abilities of each Intern. Do you feel the applicant is capable of these duties?*YesNoIf NOT please explain?Also, if you feel that the applicant is especially gifted in one or more of the areas listed above, please check the area above and explain why below***NOTE: While there will be supervision in all the areas that the applicant will be participating in, with more supervision at the beginning of the summer term and gradually decreasing as the summer progresses and the applicant learns his/her duties, do you feel that the applicant works well in an environment where they will be depended upon to accomplish certain tasks daily/weekly without constant supervision? Why or Why Not?*Wrapping UpWould you like us to give you a call to further discuss this persons application?*YesNoBased on the information above, the applicant is*Strongly RecommendedRecommendedRecommended with reservationNot recommended at this time* I have answered all of the questions to the best of my knowledge. Pastor or Church Clerk's Name* First Last NameThis field is for validation purposes and should be left unchanged.