Pastor/Leader Reference Form


(Pastor/Leader Recommendation Form)

Pastor or Church Leader: A member of your congregation or someone whom you know has applied to be a counselor for the 2018 Chicago Alive Youth Camp summer camp and has requested that you provide a reference. Because the primary goal of the Chicago Alive Youth Camp is to see young people come to know the Lord and grow in their faith, it is vitally important that the Counselors be mature in their faith themselves.

Please answer the following questions as honestly as you can and return this form as soon as possible. We thank you for your prayerful assistance in this matter.

You may complete the form in one of three ways:
1-    Click on the link above and DOWNLOAD the file. Open the file in Adobe Acrobat, fill out the form electronically*, SAVE it and email it to us at ; OR
2-    Click on the link above and PRINT the form, fill it out and mail it to us at BECKON, PO Box 237, Bloomingdale, IL 60108; OR
3-    Click on the link above and PRINT the form, fill it out, place it in a sealed envelope and return it to the candidate with your signature over the seal. All responses will be kept strictly confidential.

If you have any questions or wish to discuss, please call 630.725.8400 or email

*The form requires Adobe Acrobat. Download the latest FREE version here if you don’t already have it.

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