TRIP APPLICATION, part 2
Friends Forever Ministry Trip
APPLICANT: Please fill-in your name, phone and date of birth; then give the Pastorís Reference to your senior pastor or youth pastor. Please print legibly.
Applicantís Date of Birth_______/_______/________
THE FOLLOWING PORTIONS ARE TO BE COMPLETED BY YOUR PASTOR OR YOUTH PASTOR.
PASTOR: Please complete the following recommendation and
mail it to Mark Muirhead Ministries, Inc. at the address on the bottom of page 2
of this form.
DO NOT RETURN THIS PASTORíS REFERENCE APPLICATION FORM TO THE APPLICANT.
Please print legibly.
Church Phone(_____)______________________Home Phone(____)________________
Please read the following before filling out this recommendation.
Serious consideration will be given to your evaluation of the applicantís character and fitness for short-term missions. Your responses will be held in strict confidence.
How long have you known the applicant?______________________________________
How well do you know the applicant? (circle one)
By Face/Name Casually Fairly Well Very Well
Which of the following best describes the applicant?
Use numerals 1 being lowest to 5 being highest.
_______Response to Authority
_______Spiritual Influence on Others
Pastorís Reference, part 2
What of the following best describes the applicants
Use numerals 1 being lowest to 5 being highest
________Inclined to crushes
Yes No Is the applicant active in his/her church?
Yes No To your knowledge, has the applicant had a salvation experience?
Yes No Are you aware of any mental or emotional illness?
Yes No To your knowledge, has the applicant ever used tobacco, alcohol, or illegal drugs?
Yes No If yes, within the past year?
Yes No Have you ever had reason to question the applicantís morality?
Yes No Do you have any reason to lack confidence in the applicant?
Please circle, based on the above information the applicant is:
Recommended with Reservation
If the applicant was Recommended with Reservation or Not Recommended, please explain: _________________________________________________________________________________________________________________
Please return before or by 12/30/15 for the 2016 Trips
Mark Muirhead Ministries, Inc. / P.O. Box 2001 / Pinehurst, NC 28370-2001
PH: 1-910-215-7777 / EM: email@example.com