Missionary Recommendation Checklist – Fill Out and Use This PDF

The Missionary Recommendation Checklist form is a comprehensive document designed to assist bishops and branch presidents in evaluating and recommending members for full-time missionary service, in line with guidelines from the Missionary Department and Church Handbook of Instructions. It ensures that all aspects of preparation, from spiritual readiness to financial arrangements and medical conditions, are thoroughly assessed. For those considering embarking on this important journey, make sure to fill out the form by clicking the button below.

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Missionary Recommendation Checklist PDF Details

The Missionary Recommendation Checklist form stands as a comprehensive guide for bishops and branch presidents within The Church of Jesus Christ of Latter-day Saints as they embark on the crucial process of evaluating and recommending candidates for full-time missionary service. Located at 50 E North Temple St, Rm 345, Salt Lake City, UT, the Missionary Department harnesses this form to encapsulate essential details about potential missionaries—ranging from their full legal names to intricate personal, health, and financial information. The form intricately ensures that candidates are thoroughly vetted for worthiness, qualifications, emotional and physical capability, and an earnest understanding and testimony of the gospel. It highlights specific timelines for submission based on the missionary's status, emphasizes the significance of approval and collaboration across bishops or branch presidents for candidates living away from home, and underscores the structured interviews assessing the missionary's readiness and capability. Moreover, the checklist meticulously outlines the financial responsibilities, emphasizing contributions to the Church's missionary fund and the potential for supplemental financial assistance. Also, it underlines the importance of a final interview, complete document review, including the Priesthood Leaders' Comments and Suggestions form, and stresses the protocol for consideration of special medical or dietary needs, ensuring all steps are aimed at preparing the candidate spiritually, emotionally, and logistically for their mission.

Question	Answer
Form Name	Missionary Recommendation Checklist
Form Length	21 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	5 min 15 sec
Other names	lds mission papers pdf, lds missionary application form, missionary recommendation form, missionary dental form lds

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Checklist for Full-Time Missionary Recommendation

MISSIONARY DEPARTMENT

50 E NORTH TEMPLE ST RM 345 W SALT LAKE CITY UT 84150-5400

To the Bishop or Branch President

Review the Church Handbook of Instructions, Book 1: Stake Presidencies and Bishoprics, and the First Presidency letters of 12 December 2000 and 11 December 2002 for information on qualifications, terms of service, requirements for special clearance, and other instructions on calling missionaries.

The missionary recommendation packet for young missionaries should be submitted to the Missionary Department not more than 90 days before the candidate's availability date. Couples' packets may be submitted up to five months in advance. The date given in the “Date available to serve” field should not be earlier than the birthday when the missionary reaches the minimum age for service. Normally about two to four months are allowed between the issuing of the call and the beginning of the mission.

If the candidate has been living away from home, the home bishop or branch president and the away-from-home bishop or branch president must confer regarding worthiness and the procedures for submitting the recommendation forms (see the Church Handbook of Instructions, Book 1).

Conduct a thorough, searching interview with the candidate to determine

worthiness, qualifications, and the individual's physical and emotional capability to serve. Confirm that the candidate has an understanding and testimony of the Savior and His Atonement, the Restoration and Joseph Smith' role in it, the Book of Mormon (having read it), and the singular privilege of serving the Savior as a missionary.

Give the candidate the missionary recommendation packet.

Review these forms after the candidate completes them. Ensure that any serious concerns are resolved, including completion of recommended tests or treatment, before the forms are submitted. Give special attention to emotional, behavioral, and learning problems. If the candidate is on medication for a chronic condition, encourage him or her to continue the medication throughout the mission.

Conduct a final interview with the candidate before submitting the forms. Make sure that all requested information has been provided, and fill in the Unit Information for Missionary Candidate form including the candidate's record number. Discuss with the candidate important information requested on the forms, such as visa or citizenship documentation and information about special medical problems, diets, or medications.

Ensure that after the contribution from the missionary and family, the ward or branch missionary fund can meet the financial obligation for the missionary.

For countries where supplemental financial support from the General Missionary Fund is authorized: If the candidate cannot be supported fully from personal, family, ward or branch, or stake or district funds, complete a Request for Supplemental Financial Assistance for Full-Time Missionary form (31964), and send it to the area office with the missionary recommendation packet. Do not request assistance from the General Missionary Fund until the missionary, the family, and the ward or branch and stake or district have committed themselves to provide all the financial support they can.

Ensure that family members and others contributing to the Church's missionary funds are aware that contributions belong to the Church for use in its discretion to further missionary work and are not refundable even if the missionary is unable to complete the full term of his or her mission.

On the Priesthood Leaders' Comments and Suggestions form, provide pertinent information on the candidate' qualifications and abilities. Add comments on the candidate' experience, leadership capability, potential, interests, talents, or limitations that should be considered in determining the mission assignment.

The picture that accompanies the recommendation form should be current and should show the candidate dressed and groomed according to missionary standards.

Sign the Priesthood Leaders' Comments and Suggestions form and send all required forms to the stake president. When you sign this form, you are stating that in your opinion this individual is worthy to serve a mission. You are also confirming that you have reviewed the medical information and conducted a thorough personal interview, which has convinced you that this person is physically and emotionally able to serve a mission.

Do not recommend members who are in debt and have not made definite arrangements to meet their financial obligations.

To the Stake or Mission President

Conduct a thorough, searching interview. Confirm that the candidate has an understanding and testimony of the Savior and His Atonement, the Restoration and Joseph Smith's role in it, the Book of Mormon (having read it), and the singular privilege of serving the Savior as a missionary.

Add your comments on the Priesthood Leaders' Comments and Suggestions form.

Make sure that all concerns have been resolved or adequately explained either on the Priesthood Leaders' Comments and Suggestions form or, if confidential, in a separate letter.

Review all forms for accuracy and completeness.

Sign the Priesthood Leaders' Comments and Suggestions form, and send all forms to the Missionary Department (at the address above). When you sign this form, you are stating that in your opinion this individual is worthy to serve a mission. You are also confirming that you have reviewed the medical information and conducted a thorough personal interview, which has convinced you that this person is physically and emotionally able to serve a mission.

Missionary Recommendation

MISSIONARY DEPARTMENT

50 E NORTH TEMPLE ST RM 345 W SALT LAKE CITY UT 84150-5400

Full legal name (first)	(middle)	(last)	(suffix)		Date available to
					serve

Home street address

City			State or province	Postal code

Country			District (if any)		Airport

Home phone (include area code)			E-mail address (optional)

Other states, provinces, or countries where you have lived recently (or for extended periods)

Address where your call should be sent, if different from home address

City	State or province	Postal code

Country	District (if any)

Phone (include area code)	Date of birth	Gender
		Female	Male

Attach with tape one (1) photograph of the

missionary candidate dressed and groomed according to missionary standards.

Confirmation date		Current marital status				Have you ever been
			Single		Married	Widowed	Divorced

Have ever been arrested (If yes to any of these, explain, including date of arrest, charge, and resolution.)
Yes	No

Have ever had a police record
Yes	No

Have ever been convicted of a crime
Yes	No

Citizenship Information

Citizenship at birth				Place of birth (city, state, or			Birth	Current country of citizenship			If dual citizenship, indicate second
				province)			country				country of citizenship.

You have an official birth certificate				Currently a documented citizen of your resident country (If no, indicate your current status in your country of residence.)
Yes	No			Yes	No

Citizenship status imposes restrictions on traveling outside				Nationalities of ancestors
the country where you live
Yes	No

You have a current passport				Expiration date:					Name (exactly as it appears on the passport)
Yes	No

Passport Number				Country of Issue

Father's Information

Father's full name				Father is a member					Father is deceased
				Yes	No				Yes	No

Father's birthplace (city, state, or province)				Father's occupation

Father's street address, if different from your home address

City				State or province					Postal code

Country				District (if any)

Home phone (include area code)

E-mail address (optional)

Check here if you do NOT want your father to be contacted at all.

Missionary Recommendation

Your full legal name (first)

(middle)

(last)

(suffix)

Age

Gender

Female Male

Mother's Information

Mother's full name					Mother is a member		Mother is deceased
					Yes	No	Yes	No

Mother's birthplace (city, state, or province)					Mother's occupation

Mother's street address, if different from your home address

City					State or province		Postal code

Country					District (if any)

Home phone (include area code)					E-mail address (optional)		Check here if you do NOT want your mother to be
							contacted at all.

Residence and Caregiver Information

You live with:
Both parents		Mother only	Father only	Other (name)			(relationship)
Both parents		Mother only	Father only	Other (name)

If you do not live with both parents, please explain why.

Address of caregiver, if other than parents and different from home address

City					Postal code		Country

State or province					District (if any)

Home phone (include area code)					E-mail address (optional)		Check here if you do NOT want this person to be
							contacted at all.

Other Family Members Who Have Served or Are Serving Missions

Father has served a mission (If yes, give name of mission.)					Mother has served a mission (If yes, give name of mission.)		Grandparents have served missions (If yes, give name of
Yes	No				Yes	No	missions.)
Yes	No				Yes	No
							Yes	No

Relationship and location of immediate family members currently serving missions (parents, brother, sister, grandparents)

Priesthood Leaders' Comments and Suggestions

MISSIONARY DEPARTMENT

50 E NORTH TEMPLE ST RM 345 W SALT LAKE CITY UT 84150-5400

Missionary candidate's name (first)

(middle)

(last)

(suffix)

Age

Gender

Female Male

Final Evaluation (Items to be reviewed by priesthood leaders)

Check the following when they are complete:

I have reviewed all forms completed by the candidate.

I have discussed and resolved my concerns, if any, with the candidate.

The candidate is worthy to hold a temple recommend.

The candidate is willing to serve where called and in any assignment that might be given.

Has the candidate lived outside your ward for any significant time in the last year? (School, Military, Employment, etc.)

If yes, enter the date on which you conferred with the candidate's former bishop.

Bishop's or Branch President's Recommendation Provide information on the qualifications and abilities of the missionary candidate. Comment on the experience, leadership capability, potential, interests, talents, or limitations of the candidate that should be considered in determining the mission assignment. Confidential comments should be discussed in a separate letter.

Please evaluate the missionary candidate's leadership capability.

Low	1	2	3	4	5	High
Low						High

Bishop or Branch President's Confidential Comments

When you sign this form, you are stating that in your opinion this individual has a testimony of the gospel and is worthy and willing to serve a mission wherever called. You are also confirming that you have reviewed the medical information and conducted a thorough personal interview, which has convinced you that this person is physically and emotionally able to serve a mission.

Bishop or branch president's signature	Telephone (include area code)	Date submitted

Print name	Unit name	Unit number

Priesthood Leaders' Comments and Suggestions

MISSIONARY DEPARTMENT

50 E NORTH TEMPLE ST RM 345 W SALT LAKE CITY UT 84150-5400

Missionary candidate's name (first)

(middle)

(last)

(suffix)

Check the following when they are complete:

I have reviewed all forms completed by the candidate.

I have discussed and resolved my concerns, if any, with the candidate.

The candidate is worthy to hold a temple recommend.

The candidate is willing to serve where called and in any assignment that might be given.

Age

Gender

Female Male

Stake or Mission President's Recommendation Provide information on the qualifications and abilities of the missionary candidate. Comment on the experience, leadership capability, potential, interests, talents, or limitations of the candidate that should be considered in determining the mission assignment. Confidential comments should be discussed in a separate letter.

Stake or Mission President's Confidential Comments

Stake or mission president's signature	Telephone (include Area Code)	Date submitted

Print name	Unit name	Unit number

If English is not the candidate's native language, have a native English speaker evaluate his or her English-speaking ability. The evaluators should use the following questions to interview the candidate and check the appropriate ranking, paying particular attention to the candidate' ability to use correct verb tenses, to answer appropriately, and to use sentences.

What did you do to prepare for your mission? What will you do on your mission to ensure that you are successful? Tell me about your favorite scripture. Key: Nonfunctional — Does not respond to questions.

Partially Functional — Has difficulty resonding to questions; does not use complete sentences or appropriate verb tense. Functional — Responds appropriately to questions; uses complete sentences; generally uses proper verb tense.

Fluent — Understands and speaks with near-native ability; mostly uses proper verb tenses; responds confidently.

0	1	2	3	4	5	6	7
No English	Nonfunctional		Partially Functional		Functional		Fluent

Area Medical Advisor Review

MISSIONARY DEPARTMENT

50 E NORTH TEMPLE ST RM 345 W SALT LAKE CITY UT 84150-5400

Missionary candidate's name (first)

(middle)

(last)

(suffix)

Age

Gender

Female Male

Area Medical Advisor Review Based on a review of the missionary candidate's history, the physician's health evaluation, and a review of laboratory findings, indicate the candidate's ability to function at various levels of activity as a missionary.

Level A—No limitation	Level B—Slight limitation	Level C—Moderate limitation	Level D—Marked limitation	Level E—Not appropriate
No limitation of activity in lifting,	Slight limitation of activity; slight	Moderate limitation of activity;	Marked limitation of activity or has	Conditions exist for which corrective
carrying, walking 6 or more	decrease of function or stamina,	moderate decrease of function or	special requirements, such as specific	action has not been or cannot be
miles per day, or spending 12 to	such as problems with walking	stamina; requires limited walking	climate, use of wheelchair, frequent	taken, such as severe chronic pain,
16 hours per day in missionary	(limited to 3-6 miles per day) or with	(0-3 miles per day) or sedentary	rest periods, special medical needs, or	loss of stamina, or recurring
activity.	extensive standing.	work.	medical visits.	conditions.

Selected Limitations

Additional Comments

Education and Service of Missionary Candidate

MISSIONARY DEPARTMENT

50 E NORTH TEMPLE ST RM 345 W SALT LAKE CITY UT 84150-5400

Your full legal name (first)

(middle)

(last)

(suffix)

Age

Gender

Female

Male

Language Information

Number of years studied in the last 5 years

Language

Native speaker

(Complete this column for languages you do

Average grade

NOT speak natively.)

Yes

Language you want your call letter to be printed in

Indicate how interested you are in learning a language.

Very interested

Moderately interested

Somewhat interested

Not interested

Rate how successful you feel you would be in learning a language for your mission.

Very successful

Moderately successful

Somewhat successful

Not very successful

Education and Work Experience

Highest education level achieved

Graduated from high school

Rate your performance at schoolwork

Yes

Extremely good

Very good

Good

Average

Not very good

Poor

Years in seminary

Graduated from seminary

Yes

Post-secondary education (such as bachelor's degree)

Number of years

Degree

Major

School

Post-graduate education (such as master's degree, doctorate, and so on)

Number of years

Degree

Major

School

Extracurricular activities, special skills, hobbies, and special accomplishments

Previous Church callings and leadership experience

Work experience outside the home (Include number of years in each job.)

Office experience
General bookkeeping	Word processing	WPM	Computers	Details

Education and Service of Missionary Candidate

Your full legal name (first)

(middle)

(last)

(suffix)

Age

Gender

Female Male

Other Information

Driver's license

Yes No

Expiration date

Country	State or province

License has been suspended If yes, explain. (Give date and reason for suspension.) Yes No

Military Information

Current or previous military experience		Name of military organization
Yes	No

Member of military reserve unit (U.S. only)		Name of reserve organization
Yes	No

Reserve service number		Name of commanding officer

Unit mailing address

City

State or province

Postal code

Source of Funds Indicate how much money (in your local currency) will be contributed per month in support of your mission from the sources below. Enter single combined amount for a couple in “Self.”

Local currency

Self

Family

Ward or branch

Other

Total

Candidate Comments Explain any special circumstances or situations that the Brethren should consider when making your mission call.

Comments

Unit Information for Missionary Candidate

MISSIONARY DEPARTMENT

50 E NORTH TEMPLE ST RM 345 W SALT LAKE CITY UT 84150-5400

Missionary candidate's record number (provided by ward or branch)

Unit Information Completed by bishop or branch president

Home ward or branch		Unit number	Home stake or mission

Name of home bishop or branch president			Name of home stake or mission president

Mailing address (including country)			Mailing address (including country)

Home phone (area code)	Work phone (area code)	Cell phone (area code)	Home phone (area code)	Work phone (area code)	Cell phone (area code)

E-mail address		Fax	E-mail address		Fax

Unit Information for Unit Submitting Recommendation If other than home unit

Ward or branch		Unit number	Stake or mission

Name of bishop or branch president			Name of stake or mission president

Mailing address (including country)			Mailing address (including country)

Home phone (area code)	Work phone (area code)	Cell phone (area code)	Home phone (area code)	Work phone (area code)	Cell phone (area code)

E-mail address		Fax	E-mail address		Fax

Instructions for Missionary Candidate

MISSIONARY DEPARTMENT

50 E NORTH TEMPLE ST RM 345 W SALT LAKE CITY UT 84150-5400

1. Complete all information on the Missionary Recommendation form.		Have the physician complete the Physician's Health Evaluation of
Type if possible, or print neatly in black ink. Write dates in day, month,		Missionary Candidate form and mail it and the Personal Health History
year format (15 Dec 2001).		of Missionary Candidate form to your bishop or branch president.
2. Complete the Education and Service of Missionary Candidate form. Fill		Where mail is unreliable, personally retrieve the forms.

out the Personal Health History of Missionary Candidate form	7.	Begin the hepatitis A and B immunizations and boosters for diphtheria,
completely, honestly, and accurately before your medical examination.		tetanus, measles, and mumps immediately. You will receive additional
3. Sign the “Authorization to Release Information” section on the		immunization information with your mission call.

Physician's Health Evaluation of Missionary Candidate form.	8.	Obtain a thorough dental examination. Begin early. Sign the
4. If you have had any major illness, major operation, major injury,		“Authorization to Release Information” section on the Dental Evaluation
		for Missionary Candidate form, and give the form to the dentist along
prolonged treatment, or hospitalization, obtain a statement from the
		with a stamped envelope addressed to your bishop or branch
professional who treated you, if possible, to explain the nature of the		with a stamped envelope addressed to your bishop or branch
		president. Have the dentist fill out the form and mail it to your bishop or
problem and its current status. It is important that you provide complete
		branch president. Where mail is unreliable, personally retrieve the
information about your physical condition. For example, it is not enough
		forms.
to say that you had a knee injury; you must also state which knee was		forms.

injured and explain whether there are any persistent problems with the	9.	Have all dental work, including orthodontic work, completed before
knee.		submitting the missionary recommendation packet to your bishop or
5. The Physician's Health Evaluation of Missionary Candidate form must		branch president.

be signed by a medical doctor (MD) or doctor of osteopathy (DO). If the	10.	You are expected to be physically and emotionally capable of working
examination is done by a physician assistant (PA) or nurse practitioner		several hours a day. For young missionaries, this means walking
(NP), the supervising physician must verify the findings and review and		several miles a day six days a week. If there are reasons why this
countersign the form. An examination by any other practitioner is not		might not be possible, please discuss them with your bishop or branch
acceptable.		president.
6. Give the following forms to the physician along with a stamped envelope	11.	Before entering the MTC, correct any problems such as plantar warts,
addressed to your bishop or branch president:		flat feet, chronic headaches, inguinal hernias, and so on. Stabilize and
The completed Personal Health History of Missionary Candidate		understand the treatment for chronic problems such as asthma,
		diabetes, seizures, emotional disorders, irritable bowel, endometriosis,
form.
form.		and so on.
The Instructions for Physicians Evaluating Missionary Candidates.		and so on.

The Physician's Health Evaluation of Missionary Candidate form.	12.	If you are taking prescribed medication for any chronic problem,
		medical or emotional, do not stop taking it unless your physician

		advises you to do so. Please list on the Personal Health History of
		Missionary Candidate form all medications you are currently taking.
	13.	Complete all appropriate sections of the Personal Insurance
		Information of Missionary Candidate form.

Instructions for Parents of Young Missionaries	5. Pay particular attention to item 11 above. This will help avoid unnecessary
1. Review the completed forms, and add any pertinent information.	problems and expenses in the MTC or the mission field.

2. Please make sure that the instructions under item 3 above are carried out	6. If you have private insurance coverage for your son or daughter, do not
	discontinue it. Please note it on the Personal Insurance Information of
and that clarifying statements are submitted with the Personal Health
	Missionary Candidate form with pertinent data.
History of Missionary Candidate form. Failure to do so may delay the	Missionary Candidate form with pertinent data.

mission call unnecessarily.	7. During the mission, a missionary’s family must bear the costs of caring for
	preexisting medical conditions. A preexisting condition is any chronic,

3. Encourage your son or daughter to continue to take any prescribedcongenital, or medical condition with signs or symptoms, a diagnosis, or

medications. Problems may arise when missionary candidates stop taking treatment within two years before the missionary enters the mission field, medication because they believe that being on medication might affect the

missionary assignment they receive.

regardless of whether the symptoms are present when the missionary enters the field.

4. Please make sure your son or daughter gets thorough medical and dental All donations to the Church's missionary funds become the property of the examinations. The Church is greatly concerned about the health and safety

of the missionaries. The purpose of a careful medical evaluation is to

Church to be used at the Church' sole discretion in its missionary programs. Contributions are not refundable, including any advance contributions, if the

ensure that missionaries can handle the rigors of missionary work and missionary is unable to complete the full term of the mission. receive assignments in which they can succeed. Missionaries are exposed

to many physical, environmental, social, and emotional stresses, often in areas where there is minimal medical care. It is unfortunate when a missionary must return home early because of problems that could have been avoided or stabilized before the mission.

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entering details in lds mission application form step 1

Provide the necessary information in the MISSIONARY DEPARTMENT E NORTH, Full legal name first, middle, last, suffix, Date available to serve, Home street address, City, Country, State or province, Postal code, District if any, Airport, Home phone include area code, and Email address optional segment.

Completing lds mission application form part 2

In the segment discussing Confirmation date, Current marital status, Single, Married, Have you ever been Widowed, Divorced, Have ever been arrested If yes to, Yes, Have ever had a police record, Yes, Have ever been convicted of a crime, Yes, Citizenship Information, Place of birth city state or, and Birth country, you are required to write down some necessary data.

Finishing lds mission application form step 3

Inside of section Fathers birthplace city state or, Fathers street address if, City, Country, Fathers occupation, State or province, District if any, Postal code, Home phone include area code, Email address optional, and Check here if you do NOT want your, identify the rights and responsibilities.

part 4 to completing lds mission application form

End up by taking a look at the next fields and completing them correspondingly: Missionary Recommendation Your, middle, Mothers Information Mothers full, Mothers birthplace city state or, Mothers street address if, City, Country, last, suffix, Age, Gender, Female, Male, Mother is a member, and Yes.

Filling out lds mission application form stage 5

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Step 4: Generate copies of the file - it can help you keep away from potential complications. And fear not - we don't share or look at your details.

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