EmailMe Form - Pastor Recommendation: Watchmen on the Wall Tour

Name of Applicant *

First Last

Name of Pastor *

First Last

Pastor's Email *

Pastor's Phone *

### - ### - ####

Church Name *

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

How long have you known the applicant? *

How well do you know him/her? *

Is the applicant an active member? *

Yes

No

To your knowledge has the applicant had a salvation experience? *

Yes

No

Are you aware of any instances of mental or emotional illness/difficulty in the applicant? *

Yes

No

If yes, please explain

To your knowledge, has the applicant struggled with the use of tobacco, alcohol, or illegal drugs in the past year? *

Yes

No

If yes, please explain

Have you ever had reason to question the applicant’s morals? *

Yes

No

If yes, please explain

Have you observed any challenges in submission to authority? *

Yes

No

If yes, please explain

We would appreciate any additional comments you might have concerning the applicant:

How would you recommend this individual for the Watchmen on the Wall Pilgrimage? *

Strongly recommend

Recommend

Recommend with reservation

Not recommended

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