Pastoral Reference for Counselors 2024

Applicant Name*

This individual is interested in serving as a counselor at this year’s IFCA International Youth Convention. To aid in the selection process, please take a few moments and complete this reference form for this counselor candidate.

1. Would you recommend this person to serve as a counselor with teenagers?*

Highly Recommend
Recommend
Recommend with reservations
No

2. How long have you know the applicant?*

3. Briefly describe this person’s personal walk with Christ as you have had opportunity to witness him/her.*

4. To your knowledge has this person ever been formally accused of or had any problems with sexual misconduct or child abuse?*

Yes
No

5. What gifts, talents, training, experiences, etc. would qualify this person to be a counselor with teenagers?*

6. Please give specifics regarding this person’s involvement and service in your local church.*

7. To what age group would you consider this person a most suitable counselor?*

Jr. High
Sr. High
Either

Your Name*

Title/Position*

Church Name*

Church Address*

Phone Number*

Email*

To the best of my knowledge, the above information is true

Check here to agree*

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