Online Church Leader Recommendation Form

Recommendation Form

Please fill out this recommendation to the best of your knowledge on behalf of the applicant. Pine Haven is a non-profit Christian camp existing to proclaim the gospel message of Jesus Christ through quality camping programs and facilities. All those involved are to be representatives and witnesses to Christ through their work and life at Pine Haven.

* Indicates required field

Applicant Name *

First

Last

Recommending Church Leader Name *

First

Last

Church Leader Title *

Name of Church *

Email *

Please answer the following questions as completely as possible. All information will be held in the strictest confidence.

How long have you known the applicant? *

In what capacity have you known the applicant? *

Is this applicant a member or regularly involved in your church? *

Yes No

How long? *

What words would you use to describe the applicant's character? *

Do you recommend this applicant for Pine Haven's Servant Leadership Training? *

If yes, why? *

What area(s) of leadership/spiritual growth do you hope the applicant will experience by participation in the Servant Leadership Training? *

As part of the program, particpants will work with a leader from their home church to find areas of service and ministry in which they can serve. Are you willing to help this applicant find areas of service in the church? *

Are you aware of any alcoholism, drug abuse, sexual abuse or any other personal difficulties involving this applicant? If yes, please explain. *

To the best of your knowledge, has this applicant ever been arrested for, pleaded guilty of, or pleaded no contest to any crime? *

No Yes

To the best of your knowledge, has this applicant ever engaged in, been accused of, charged with or convicted of any act of molestation, sexual or physical abuse of children or vulnerable people? *

No Yes

If 'yes' to either of the prvious two questions, please explain: *

Would you feel comfortable having this applicant function as a camp leader for your child? *

Other Comments: *

Electronic Signature - Please type full name *

Relationship to Applicant *

Submit