2012 Street Invaders Pastoral Recommendation All fields are required. Applicant Information Applicant's Name: Applicant's Phone Number: Applicant's Mailing Address Number & Street: City: Province:   Postal Code: Pastor Information Name: Mailing Address Number & Street: City: Province:   Postal Code: Email: Home Number: Church Phone: Church Fax: Which of the following best describes the applicant:   Excellent Above Average Average Poor Unknown Adaptability Servanthood Dependability Spiritual Life Maturity Response to Authority Spiritual Influence on Peers Leadership Abilities:   Often Sometimes Rarely Never Procrastinates Critical Irritable Inclined to romantic crushes Depressed Argumentative Domineering Rebellious How long have you known the applicant (years)? How well do you know him/her? By Name Casually Fairly Well Very Well Is the applicant active in his/her church? Yes No To your knowlendge, has the applicant had a salvation experience? Yes No To your knowledge, has the applicant's interest in outreach been influenced by a desire to escape a difficult situation such as family problems, financial struggles, or troubled romance? Yes No Are you aware of any mental or emotional illness or instability in the applicant Yes No To your knowledge, has the applicant used tobacco, alcohol, or illegal drugs in the last year? Yes No Have you ever had reason to question the applicant's morals? Yes No Do you have any reason to lack confidence in the applicant? Yes No Please use space below for further details: Based on the information you have shared with us, how would you recommend the applicant for involvement in the Street Invaders program? Strongly Recommend Recommended Recommended with reservation Not Recommended Street Invaders 8, 3530 11A Street NE Calgary, AB T2E 6M7 Voice - 403.717.0707 | Fax - 403.717.0709 | Toll-free - 877.356.0707 E-mail: office@streetinvaders.ca | Website: www.streetinvaders.ca

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