Summer Staff Reference

Reference Information

Your Name*

First Last

Your Email*

Your Occupation*

Work Address*

Work City*

Work State*

Work Zip*

Cell Phone Number*

Applicant's Information

How many years have you known the applicant?*

In what capacity do you know the applicant?*

How well do you know the applicant*

Applicant's relationship with Christ appears to be*

Applicant's interaction with kids could be described as*

Kid Magnet
Listener
Energetic
Strong Leader
Interactive
Overbearing
Responsible
Other

If you selected "Other", please explain

Applicant's response to authority*

Applicant's use of alcohol/drugs*

Applicant's dating relationships seem to be*

We do not expect anyone to score high in all areas!

It is very unlikely that any person is truly outstanding in all of the dimensions. We seek a realistic indication of our candidate's strengths and weaknesses. Rating all as "excellent" on all behaviors, or exaggerating individual ratings can hinder rather than help this person's candidacy.

Applicant's greatest strengths*

Applicant's greatest weakness*

How can we best support this applicant in their growth to ensure their success?*

Reliability*

Maturity*

Emotional Stability*

Problem Solving*

Verbal Expression*

Sensitivity to Others*

Leadership Abilities*

Personal Integrity*

Acceptance by others*

Further comments

Can you recommend the applicant as a responsible spiritual leader with young people?*

Yes
No

If no, why not?

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