Character Reference Form

CHARACTER REFERENCE FORM
Name of person applying for school *

First Name Last Name
Email Address of person applying for school *
example@example.com
Please select in what capacity you are filling in this form. (If you are unsure, please refer to the email you received with the link to this form.) *

Mature Christian Friend Pastor / Spiritual Mentor Teacher / Employer/YWAM Leader
TO THE PERSON FILLING OUT THIS FORM:
The above named applicant has applied to Marine Reach. Serious consideration will be given to your comments, so we would appreciate careful and thoughtful completion of this form. Your early response (within 7 days) would be most appreciated.

BEFORE YOU BEGIN:
PLEASE NOTE that if necessary you can save your progress at the end of each page.

Please answer every question.

If a question is not applicable, write N/A on the line.
If the answer is not known, write N/K on the line.

We will only use your personal information in so far as it pertains to the processing of the application. We do not share or transfer your personal information given on this reference form.
Your Name *

First Name Last Name
Your Age *
E-mail *
Address *

Street Address

Street Address Line 2

City

Country
Phone Number *

Country Code Area Code Phone Number
May we contact you if necessary? *

Yes No
What would be the best time to contact you? *
If possible, suggest time/s of the day and specific days of the week

Ability to receive correction *
Self-Confidence *
Self-Esteem *
Ability to make decisions *
Social ability *
Concern for others *
Ability to lead *
Ability to follow *
Ability to follow *
Willingness to serve *
Emotional stability *
Communication skills *
Stewardship *
Personal hygiene *
Are there any additional comments you would like to make about the answers you have given?

Mental Ability *
Work Ethic *
Follow-through *
Teamwork *
Flexibility *
Christian character *
Attitude *
Punctuality *
Financial responsibilty *
Are there any additional comments you would like to make about the answers you have given?

1. Which if the following best describe the applicant's Christian experience? *
2. Does the applicant display high moral standards? *

Yes No
If no, please explain *
3. How does the applicant usually react in trying / difficult situations? *
If other, please explain *
4. Does the applicant struggle with (or has struggled with) drugs, alcohol, smoking, pornography, mental illness. *

Yes No
If yes, please explain *
5. What are some of the applicant's strengths? (include any special abilities / talents) *
6. What are some of the applicant's weaknesses? *
7. Where do you see the applicant thriving in ministry? (with children, youth, music, mercy, etc.) *
8. Has the applicant proven, on any occasion, to be unreliable, dishonest, or of questionable character? *

Yes No
If yes, please explain
9. Do you recommend the applicant for acceptance with Marine Reach? *

Yes Yes, with reservations No
Please explain your answer *
10. Any additional comments to help us determine the applicant's suitability for this program?

I consent to submitting my personal information to Marine Reach for the purposes of processing this Character Reference Form. *

Yes No
Signature *
Date *

Month Day Year
Date

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CHARACTER REFERENCE FORM