Pastoral Referral Form

TRI-PRES JUNIOR CAMP COUNSELORS - PASTOR'S REFERENCE FORM

Dear Pastor:

            As a Pastor, we ask that you would take some time and actually review the application with the applicant.  We want our counselors to know that they are not just there for fun and games - they are there to represent God, their church, Tri-Pres Camp, and their personal testimonies. By taking this time prior to camp, it helps to ensure the quality of the camp program as well as the counselors own personal experience.  After completing the pastor's reference please forward to:

Bill Beans  1193 Latrobe Drive  Annapolis, MD 21409

Thank you for your cooperation.

Applicant's Name: _____________________________________________

Could you without hesitation recommend the applicant to serve as a Jr/Sr Counselor at Tri-Pres Camp?

Why or why not? ____________________________________________________________________________________________________________________

Would you feel comfortable if the applicant would be personally working with your own children or with children from your congregation?  Yes   No

Are you aware of any spiritual, emotional, or physical difficulties, which could hamper the applicant's ability to serve effectively as a counselor?   Yes   No

Explain: __________________________________________________________________________________________________________________________________________

Following camp, would you be willing to follow up on any spiritual decisions made by the children from your congregation?  Yes   No

Would you be willing to follow up on any concerns raised regarding any counselors from your congregation?   Yes    No

Signature ____________________________________________________________________________________________________

Church Name ________________________________________________________________________________________________

Office or Contact Phone No. ___________________________________________________________________________________

Date ________________________________________________________________________________________________________