Pastoral Reference for Counselors 2026

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?*

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*

Yes, it's okay to send me text messages including order confirmations, updates, event reminders, and event information. Message frequency varies. Message and data rates may apply. Reply HELP for help, STOP to cancel. View our terms of service & privacy policy.

Email*

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

Check here to agree*

You may need to scroll up after submitted to see the confirmation page details.

This page is secured with 256 bit encryption

Event Registration Software by RegFox