Short Term Trip Reference Form

If a trip applicant is denied based upon information you provide, the applicant will be referred to you for details.

Ministry Experience

Cross-Cultural Component

Contribution to the Team

Please consider these traits as they would describe this person at this time
PoorFairGoodGreatExcellent
Friendliness *
Works Well on a Team *
Initiative *
Considerate of Others *
Adaptability *
Dependability *
Servant Attitude *
Self Control *
Zeal *

Mental & Physical Health

Final Comments

This includes sexual misconduct or sexual advancements with minors.