AIM UPCI MINISTER RECOMMENDATION AIM Applicant's Name* F L UPCI Minister's Name* F L Phone*Email* Physical Address* Street Address City State / Province / Region ZIP / Postal Code Church Name & Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code About the ApplicantSerious consideration will be given to your evaluation. We value you as a reference concerning the applicant’s character and qualification for short-term missions. Your responses will be held in strict confidence.1. I have known the applicant for more than four months.* Yes No Please indicate the time you've know the applicant below.*As you haven't know the contact for more than four months, who may we contact for more information (preferably their previous pastor)?*Other contact's email* Other contact's phone2. I know the applicant:* by face/name casually fairly well very well Please evaluate the applicant in the following areas.Adaptability*ExcellentGoodFairPoorUnknownServanthood*ExcellentGoodFairPoorUnknownDependability*ExcellentGoodFairPoorUnknownSpiritual Maturity*ExcellentGoodFairPoorUnknownMaturity*ExcellentGoodFairPoorUnknownResponse to Authority*ExcellentGoodFairPoorUnknownLeadership Ability*ExcellentGoodFairPoorUnknownSpiritual Influence on Peers*ExcellentGoodFairPoorUnknownCritical*NeverRarelySometimesOftenArgumentative*NeverRarelySometimesOftenIrritable*NeverRarelySometimesOftenDomineering*NeverRarelySometimesOftenDepressed*NeverRarelySometimesOftenRebellious*NeverRarelySometimesOftenPlease answer to the best of your knowledge.1. Is the applicant active in the church?* Yes No 2. Does the applicant have a personal relationship with Jesus?* Yes No 3. Has the applicant’s interest in missions been influenced by a desire to escape a difficult situation such as family problems, financial struggles or a troubled romance?* Yes No 4. Are you aware of any mental or emotional illnesses or instability in the applicant?* Yes No 5. Have you ever had reason to question the applicant’s morals?* Yes No 6. Do you have reason to lack confidence in the applicant?* Yes No Additional Comments(Optional) We would appreciate any additional comments you might have concerning the applicant. Based on the above information, the applicant is*Strongly RecommendedRecommendedRecommended with ReservationNot RecommendedPlease explain your recommendation.*Initial*Position*Date* MM slash DD slash YYYY CAPTCHANameThis field is for validation purposes and should be left unchanged.
