Pastoral/Spiritual Reference Form for Missions Trip Applicants

Caring Partners International (CPI) is a Christian healthcare ministry with the mission of equipping churches around the world with healthcare tools to meet both physical and spiritual needs. Locally, CPI donates thousands of pounds of nutritional & medical supplies each year to churches to help kids in need, seniors, homeless shelters, and food pantries. Nationally, CPI donates disaster relief supplies to churches to assist families in affected areas. Globally, CPI partners with churches to host community healthcare clinics, staffed by both national and U.S.-based volunteer healthcare providers.

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Your Name: *
Your Title: *
Your Email: *
Would you like to sign-up for our e-newsletter? *
Your Phone: *
Church Name: *
Applicant's Name: *
Mission Trip Dates: *
What is your relationship to the applicant? *
How long have you known the applicant? *
Does the applicant show evidence of a growing relationship with Christ? *
If no, please explain.
Does the applicant express a sincere love for God and others, with the attributes of a servant leader who puts the needs of others above their own?
 *
Please rate the applicant's integrity in conduct and work ethic.
 *
Do you have any reservations regarding the applicant's suitability as a member of an international medical missions trip?
 *
If yes, please explain.
How would you recommend the applicant?
 *
How would you recommend the applicant?
 *
Please explain your above answer in more detail.
Additional comments, such as areas of strength or in need of improvement.
If you are interested in learning more about how we could serve your church family, please give us a call at 937-743-2744. We would love to connect.

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