COUNSELOR RECOMMENDATION

(To be completed by Church Pastor or Leader)

Dear Pastor: For us to meet state requirements for counseling personnel, we need your assistance in completing the following form.  Please send this completed form to:

Teen Camp:  Mark Mills                                     Junior Camp:  Cooper Stinson 

                                                                                                          RR2 Box 345

                                                                                                           Rusk , Tx. 75735

If you have any questions, please call Mark (Teen Camp) at (972)270-1087 , or Cooper (Junior Camp) at (903) 683-6819.  THANK YOU for your help!

NAME OF COUNSELOR:                                                                                                              

NAME OF CHURCH:                                                                                                                     

Explanation of individual’s character & integrity:                                                               

Explain your opinion of this individual’s capability physically, spiritually, mentally, and emotionally to be a counselor for Hilltop Camp:

RECOMMENDING PASTOR’S SIGNATURE:                           PHONE NUMBER:

(If the pastor is unavailable, an individual considered to be a leader in the church such as a Deacon, Elder, Church Leader, etc., should sign the next line.)

RECOMMENDING CHURCH LEADER’S SIGNATURE:        PHONE NUMBER:

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