Missionary Reference – Pastoral/Church Leader Name of Recommender (Your Name)* First Last Church Name*Name of Candidate*How well do you know him/her?*Just by name and sightCasually, I have had a few personal contactsFairly well, I have had a number of personal contactsVery well, I have had multiple personal contactsRelation to the applicant*Have you any reason for lack of confidence in this applicant? If so, why?Do you feel he/she can adjust easily to new and different circumstances?*YesNoDoes he/she exhibit a positive or negative attitude? If possible, please give an example?*Have you known this person to consume alcohol or habit forming drugs?*YesNoWhat do you consider his/her greatest weakness?*Are there any personality traits which hinder this applicant in his/her relationship with others? If so, please explain?*This applicant has trouble getting along with Men Women Children Authority Please rate 1-5 (1 being low & 5 being high) in these categories:Cooperativeness*12345Good Judgement*12345Trustworthiness*12345Tactfulness*12345Courtesy*12345Personality*12345Influence on Others*12345Social Maturity*12345Emotional Stability*12345Personal Appearance*12345Calling*12345Passion*12345Motivation*12345Would you recommend the applicant's admission unhesitatingly to SCORE? *If you are not able to recommend unhesitatingly, please indicate why through the "is there anything else we should know" question at the bottom of the form.*YesNoSCORE takes the protection of children very seriously. Do you have any concerns about this person with children?*YesNoIs there anything else we should know about the applicant?PhoneThis field is for validation purposes and should be left unchanged.