Reference Form

Name of Applicant*
First Last
Name of Person Providing Reference*
First Last
Address of Person Providing Reference*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Please evaluate the applicant as fairly as you are able by marking your ratings on the following continuums. If you don't feel qualified to give an answer in a particular area, please mark it as Don't Know. Your responses will be kept confidential.
SPIRITUAL
Salvation*
Evaluate the applicant's demonstration of being born again. (0-little evidence, 10-strong evidence)
- 0
- 1
- 2
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- 4
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- 10
- Don't Know
Relationship with Christ*
Evaluate daily practice of his/her faith (0-inconsistent, 10-consistent)
- 0
- 1
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- 10
- Don't Know
Church Involvement*
Evaluate relationship with local church (0-uninvolved, 10-deeply involved)
- 0
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- Don't Know
Trust in God*
Is the applicant anxious or trusting? (0-constantly anxious, 10-consistently trusting God)
- 0
- 1
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- 9
- 10
- Don't Know
Ministry Skills*
Is the applicant capably involved in ministry? (0-uninvolved, 10-capably involved)
- 0
- 1
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- Don't Know
Knowledge of Scripture*
(0-very limited, 10-exceptional)
- 0
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- Don't Know
Concern for and Witness to the Lost*
(0-unconcerned, 10-actively witnessing)
- 0
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- Don't Know
Comments on any of the above
PERSONAL
Work Habits*
(0-sloppy/unreliable, 10-reliable/precise)
- 0
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- Don't Know
Initiative*
Does the applicant take the initiative in most situations? (0-always waits for others, 10-self starter)
- 0
- 1
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- Don't Know
Relationship to Authority*
How does the applicant respond to authority? (0-rebellious, 10-respectful)
- 0
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- Don't Know
Cooperation*
Does the applicant function well as a part of a team? (0-difficulty with teams, 10-consistent team player)
- 0
- 1
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- Don't Know
Social Acceptance*
How does the applicant's personality affect others? (0-tolerated, 10-sought after)
- 0
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- Don't Know
Acceptance of Others*
How responsive is the applicant to others' feelings? (0-narrow and unresponsive, 10-exceptionally understanding)
- 0
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- Don't Know
Emotional Stability*
(0-insecure/reactive, 10-secure/stable)
- 0
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- Don't Know
Family Relationships*
(0-poor, 10-excellent)
- 0
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- Don't Know
Flexibility*
How well does the applicant adapt? (0-rigid, 10-consistently able to adapt)
- 0
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- Don't Know
Focus*
Does the applicant have a strong sense of purpose/calling? (0-wavering, 10-strongly committed)
- 0
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- Don't Know
Appearance*
Evaluate the applicant's personal appearance. (0-sloppy, 10-always neat)
- 0
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- Don't Know
Poise*
Evaluate the applicant's public demeanor. (0-lacks confidence, 10-consistently confident)
- 0
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- Don't Know
Leadership*
Is the applicant a leader? (0-never leads, 10-strong leader)
- 0
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- Don't Know
Communication*
Does the applicant present thoughts with clarity? (0-not able to communicate clearly, 10-very articulate)
- 0
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- Don't Know
Ministry Potential*
How would you rate the applicant's probability of success in cross-cultural ministry? (0-poor, 10-excellent)
- 0
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- Don't Know
Relationships with the Opposite Sex*
(0-careless, 10-very discreet)
- 0
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- Don't Know
Comments on any of the above
How long have you known the applicant and in what relationship?*
Does the applicant hold any beliefs that differ from historical evangelicalism?*
- YES
- NO
If yes, please briefly explain.
Is there anything, in your opinion, that would prevent the applicant from being successfully involved in cross-cultural ministry?*
What would you consider to be the applicant's greatest strengths?*
What would you consider to be the applicant's weak areas?*
Influence on Applicant*
Is there any indication that the applicant's desire for missionary service has been significantly influenced by: A desire for travel or adventure, a desire to exercise power or control over less privileged people or a desire to escape a difficult situation? Explain briefly
Please include any comments you may have on the applicant which you feel have not been covered (or have been inadequately covered) in other sections of this form. Please be frank.
Consent*
By checking this box, I agree that everything is true and accurate.
Signature (Name)*
Date*
MM slash DD slash YYYY

Reference Form

Reference Form

Please evaluate the applicant as fairly as you are able by marking your ratings on the following continuums. If you don't feel qualified to give an answer in a particular area, please mark it as Don't Know. Your responses will be kept confidential.

SPIRITUAL

PERSONAL