2024 Reference Form

*Denotes Required Field

Pastor/Teacher/Friend Reference

Please answer the following questions to the best of your ability based on your knowledge of the applicant. Thank you very much for your assistance in this matter.

* Name of Applicant

* How long have you known the applicant?

* What is your relationship?

Question and Answer

* To your knowledge, is the applicant a born-again believer?

* Has there been evidence of spiritual growth in the past year?

* Do they have active interest in Christian service? What type?

* Is the applicant responsible and hardworking?

* In what areas does he/she excel?

* In what areas does he/she struggle, and how can they be supported?

* To your knowledge, has the applicant been tried or convicted for a criminal offence?

If so, what was the offence?

* Do you recommend the applicant for the position desired? Why or why not?

* Would you desire your children to be placed under the direct charge of this person?

Additional comments about the applicant

Reference Evaluation

Please provide a numerical value for each of the listed qualities. (1 being the lower end of the spectrum and 5 being highest.)

* Tact

* Ability to Work in a Team Setting

* Friendliness and Disposition

* Attitude Towards Hard Work

* Communication Skills

* Emotional Stability

* Self Control

* Ability to take Criticism

* Conflict Resolution

* Respect of Peers

* Commitment to Tasks

* Confidence Level

* Respect of Rules

Comments

Reference Information

Please provide your personal information in case we have further questions about the applicant.

* Full Name

Occupation

* Email

* Phone Number ( ) -

Address

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