03_Personal Evaluation

Name of Student Applicant

First NameLast Name

APPLICANT: Please read this carefully before distributing form.
This form must be completed by your pastor if possible. If your pastor is a close relative or does not know you personally, it may be completed by someone in church leadership who knows you personally and is not closely related to you.

Signature

Date

EVALUATOR:

Each applicant for admission to RHEMA must submit three evaluations along with his/her application. Serious consideration will be given to your comments. Please complete this form carefully and in privacy. Since we request a candid evaluation, we will hold your comments in strictest confidence. Therefore, we ask that this completed form be placed in the accompanying security-lined envelope and sealed prior to returning it to the applicant, who will then mail it to RHEMA.

How long have you known the applicant?

Has your relationship been

If others, please specify:

What has been the nature of your acquaintance? In Church, were you....:

If others, please specify:

What has been the nature of your acquaintance? In Business, were you....:

What has been the nature of your acquaintance? In School, were you....:

What has been the nature of your acquaintance? In Social, were you....:

If others, please specify:

Please evaluate his/her personal character: Honesty

Please evaluate his/her personal character: Financial Responsibility

Please evaluate his/her personal character: Dependability

Please evaluate his/her personal character: Cooperativeness

Please evaluate his/her personal character: Academic Ability

Please evaluate his/her personal character: Ability to work with others

Please evaluate his/her personal character: Personal cleanliness

Please evaluate his/her personal character: Consideration for others

Please evaluate his/her personal character: Moral character

Please evaluate his/her personal character: Acceptance of instruction and/or discipline

How industrious is he/she as a student or worker?

Comments

Please list attributes which best describes the applicant's attitude toward the church and its activities.

Comments

Is the applicant prompt in paying his/her bills?

Comments

From personal knowledge of the individual, would you?

If you checked any of the last 3, please explain

Emotional evaluation:

Does the applicant respond well to authority?

If no, please explain.

The applicant's spiritual influence on others is:

With what sort of companions does he/she usually associate?

Have you ever known the applicant to engage in questionable moral conduct?

If so, please explain.

Please describe the applicant's home life and/or marriage.

Have you noted physical weaknesses or emotional problems that would hinder the applicant in an intense academic environment?

To your knowledge, does the applicant:

Comments

What do you consider the applicant's strong points? (include positive personal traits)

What do you consider the applicant's weak points? (include positive personal traits)

Please share with us any information you may have about the applicant that would help in our evaluation. (The information could cover recent experiences or incidents in the applicant's life, or even a general personality appraisal.)

To your knowledge, has the applicant ever been accused, questioned, or investigated for child abuse, child neglect or child molestation?

If yes, please explain

To your knowledge, has the applicant ever been accused, questioned, or investigated for spousal abuse?

If yes, please explain

Your Signature

Please sign in the box.

Date

Your Name

TitleFirst NameSurname

Age

Phone Number

Area CodePhone Number

Email

example@example.com

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Are you a Rhema graduate?

Year

Are you

Position

Organization