Pathfinder Staff Recommendation Form

Pathfinder Staff Recommendation Form
Your honest appraisal will assist the director in evaluating the applicant's qualifications and abilities.
I am writing this recommendation for
Relationship to applicant*

General Impression (Select what you believe to be applicable 1=low, 5=high)

	1	2	3	4	5
Spiritual influence
Spiritual commitment
Attitudes toward the church
Judgment
Dependability
Leadership potential
Cooperation
Initiative & Resourcefulness
Intellect
Personality
Adaptability
Appearance
Emotional stability

Specific Qualities

(Check all boxes below that you believe to be applicable)
Spiritual influence

positive Christian influencepassive Christian influencenegative Christian influence
Spiritual commitment

dedicatedgrowingsearchinguncommitted
Attitudes toward the church

active supportpassive acceptanceresistance
Judgment

matureadequateinconsistentpoor
Dependability

reliableerraticpooroften lateeasily distracted
Leadership potential

naturallatentfollower
Cooperation

helpfulerraticwillingly obeyspoorobstructive
Initiative & Resourcefulness

self-startercreativeability to improviseneeds supervisionperseveringeasily discouraged
Intellect

quickaverageslow to grasp material
Personality

extrovertedwell-balancedintrovertedself-centeredunselfisheasily offended
Adaptability

flexibleopen-mindedprejudicedtactfulout-spoken
Appearance

well groomedrelatively neatcareless
Emotional stability

self-controlledstableeasily disturbedunstable
Additional Comments
To your knowledge has this person been charged or disciplined for any unlawful conduct, child abuse, and/or child sexual abuse?

YesNo
If yes, briefly describe the type of abuse the applicant was charged or disciplined for:
How long have you known the applicant?
In what capacity?
Would you feel comfortable with this applicant caring for your child on a Pathfinder outing?

YesNo
If no, please explain:
Please give any further information which you feel would be helpful to the Pathfinder organization in appraising this applicant
Your Details
Name

First NameLast Name
Date

MonthDayYear
Position
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
After clicking on the submit button below you should see a confirmation message letting you know we’ve received your submission.
Should be Empty:

Pathfinder Staff Recommendation Form

Additional Comments

Your Details