This document is a pastor's reference form for an applicant to Youth With A Mission (YWAM) in Nashville. The form requests information about how well the pastor knows the applicant, their character qualities and suitability for missionary work. The pastor is asked to rate the applicant on qualities like initiative, discipline, leadership and provide comments. Additional questions address the applicant's church involvement, family life, and the pastor's recommendation regarding a two-year commitment to missionary service.

1. Pastor’s Reference Form
TO THE APPLICANT: Please complete the information below and provide a stamped envelope addressed to:
Youth With A Mission-Nashville: Personnel Department – P.O. Box 58 – Adams, TN 37010
Name of Applicant: _______________________________________________ Phone #: ___________________________
Street Address: _______________________________________ City: ________________ State: _____ Zip: ___________
Applying For: _____________________________________________________ Date Beginning: ____________________
I, the above named applicant, waive any right I have to read or obtain copies of this recommendation knowing that this
waiver is not required as a condition for admission.
Applicant’s Signature: _______________________________________________________ Date: ____________________
FOR REFERENCE ONLY
The above applicant has applied for admission to Youth With A Mission – Nashville. Serious consideration will
be given to your comments. Therefore, we ask that you complete this form carefully. Your early response will be most
appreciated as the applicant’s file cannot be considered until all forms have been received by this office. Thank you
for taking time to help us in this way. We sincerely appreciate your cooperation.
Please check the following and comment where necessary:
Your relationship to the applicant: □ Pastor □ Youth Pastor □ Elder □ Other: __________________________________
How well do you know the applicant?: □ Very Well □ Well □ Casually □ Not Well
Please rate the following and provide comments where necessary:
Excellent Good Fair Poor No Observation
Initiative □ □ □ □ □
Self – Discipline □ □ □ □ □
Self – Image □ □ □ □ □
Ability to Work with Others □ □ □ □ □
Concern for Others □ □ □ □ □
Desire to Serve □ □ □ □ □
Social Acceptability □ □ □ □ □
Work Ethic □ □ □ □ □
Dependability □ □ □ □ □
Emotional Stability □ □ □ □ □
Judgment / Decision Making □ □ □ □ □
Adaptability □ □ □ □ □
Ability to Follow □ □ □ □ □
Ability to Lead □ □ □ □ □
Financial Stewardship □ □ □ □ □
Personal Devotions □ □ □ □ □
Perseverance □ □ □ □ □
Additional Comments: _______________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________

2. 1. How long have you known the applicant?: __________ years
2. How long have they attended your church?: __________ years
3. Were you aware of the applicant’s intention to join us on staff? □ No □ Yes
4. Is the applicant faithful in church attendance? □ No □ Yes
5. Does the applicant have present responsibilities or commitments in the church? □ No □ Yes
If yes, please explain: __________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
6. Have they been faithful in the fulfillment of these responsibilities? □ No □ Yes
7. Would you want the applicant on your church staff? □ No □ Yes
Please explain: _______________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
8. Have they shown initiative in being involved in church outreach programs? □ No □ Yes
9. Has the applicant ever been a source of dissention or disunity in your church?
If yes, was it a one-time occurrence or a continuing pattern?: _________________________________________
___________________________________________________________________________________________
10. If the applicant is married, how would you describe the relationship between husband and wife?:
___________________________________________________________________________________________
___________________________________________________________________________________________
11. If the applicant has children, how would you describe the relationship between parent and child?:
___________________________________________________________________________________________
___________________________________________________________________________________________
12. Does the applicant seem to have any mental or emotional disabilities?: □ No □ Yes
If yes, please explain:__________________________________________________________________________
___________________________________________________________________________________________
13. Can you give any other information concerning the family background of the applicant that might aid us in our
decision?: ___________________________________________________________________________________
___________________________________________________________________________________________
14. The congregation’s response to the applicant’s desire for full-time missionary service is:
□ Enthusiastic □ Warm □ Indifferent □ Unsupportive
15. Do you think that (at least) a two-year commitment to missionary service would be beneficial, or unwise at this
point to the applicant? □ Beneficial □ Unwise
Please explain: _______________________________________________________________________________
___________________________________________________________________________________________
FOR REFERENCE ONLY
Name: _________________________________________ Title: ___________________ Phone #: ___________________
Address: _________________________________________ Email: ____________________________________________
City: _________________________________________ State: ___________________ Zip Code: ____________________
Signature: _______________________________________________________________ Date: _____________________
Would you like to receive further information about YWAM – Nashville? □ No □ Yes