LinkedInThis field is for validation purposes and should be left unchanged.This form will be sent to your State/Regional Office, the International Offices, and a copy will be sent to your email.Date MM slash DD slash YYYY Mentoring Pastor's NameMentoring Pastor's Email Ministerial File#CAMS for Students Applicant’s NameSupervising ChurchDescribe your relationship with the applicant:Did you give the applicant a monthly assignment sheet? Yes No Did you meet this month with the applicant? Yes No Other Identify the assignments completed this month.Local Church AssignmentsNumber of Weeks Served Add RemoveIdentify the assignments completed this month.Community Outreach AssignmentsNumber of Events Add RemoveAssess the applicant’s in the following areas:Name other topics discussed this month:List knowledge and skills the applicant may have acquired this month:List areas where the applicant needs improvement:Inform the CAMS for Students state coordinator if the applicant has special issues that need to be addressed by the coordinator.Name of State/Regional Office(Required)— Select State Office/Region —AlabamaAlaskaArizonaArkansasBahamas-Turks IslandCalifornia/NevadaCanada (National)Canada (Ontario)Canada (Quebec/Maritimes)Canada (Western)DelmarvaEast Central Hispanic RegionFlorida (Cocoa)Florida (Tampa)Georgia (North)Georgia (South)Great Lakes RegionGrenadaGulf Rio Grande Hispanic RegionHawaiiHeartlands RegionIllinoisIndianaIndonesianKentuckyLouisianaMichiganMid-Atlantic Hispanic RegionMidlands RegionMinistry To Military (MTTM)MinnesotaMississippiMissouriNew England HispanicNew JerseyNew MexicoNew YorkNorth Carolina (Eastern)North Carolina (Western)North Central HispanicNorth Central RegionNortheastern Hispanic RegionNorthern New EnglandNorthwestern Hispanic RegionOhioPacific Northwest RegionPennsylvaniaRocky Mountain RegionRomanian TerritorySouth CarolinaSouth Central Hispanic RegionSoutheastern Hispanic RegionSouthern New EnglandSouthwestern Hispanic RegionTennesseeTexasVirginiaWest VirginiaConfirm(Required) I have completed this form to the best of my ability.