-Mature Christian Reference-

You have been asked to complete this form for a student applying for a short-term missions trip through the Assemblies of God Ambassadors in Mission (AIM) or Chi Alpha Expeditions program. Your cooperation in answering the following questions will help us decide whether the applicant will fit into their respective program. We appreciate you taking the time to complete this form, please know your insight will be kept confidential.


Please note that reference forms cannot be completed by relatives or spouses of the trip participant. Thank you!

Reference Information


Trip Applicant Information

What special talents has he/she shown?

What special leadership abilities has he/she shown?

To your knowledge has the applicant participated in the use of intoxicants, tobacco, or illegal drugs?

Do you know of any reason why the applicant wouldn't be suitable to participate on an AIM trip?


PLEASE ANSWER THE FOLLOWING PERTAINING TO THE AIM APPLICANT:


Knowing the applicant as you do, what recommendations would you make?

Any other information we should know that would better enable us to evaluate this person?


IF THE APPLICANT IS 18 YEARS OF AGE OR OLDER, PLEASE RESPOND BELOW:

I am personally acquainted with applicant and in my opinion declare that applicant is competent and qualified to work with minors. I have no knowledge of facts or allegations that raise any questions concerning his/her suitability for working with minors in any activity.


This digital signature will serve as your authentication for this reference form.

This page is secured with 256 bit encryption

Reg Fox by Webconnex
Secure Online Registration Powered by RegFox