Missionary Reference Form.

Missionary Reference Form.

The information you provide will be kept confidential and will not be shown to the applicant.
Date

MonthDayYear
Date
Name

First NameLast Name
How do you know the applicant. Please include the ministry/occupation you are involved in.
Phone Number

Area CodePhone Number
How long have you known this applicant?

Less than a year1-3 years4 - 10 years11 or more years
In what capacity do you know them?

FamilyFriendCo-workerManager/EmployerYou do not feel you know them well enough to be a reference.Other
If applicable: What positions did the individual hold?
If Applicable: On a scale of 1-10 (1 is low &10 is high), how easy was he/she to supervise?

12345678910
What is your relationship with the applicant?
What traits, qualities, characteristics, etc. make this person a good missionary candidate?
What traits, qualities, characteristics may be opportunities for growth?
To you knowledge does the individual have a strong faith in God and Jesus Christ?
So you know of anything in the individuals Christian faith which either excludes or promotes their desire to serve?
Please provide information regarding the applicant's involvement in Christian ministry past and present.
Is there any other information you would like to give about this applicant?
Please evaluate the applicant in the following general areas with a short examples or explanation as well as filling in the bubble point.
How would you describe his/her interpersonal relationship skills? Mark only one.

ExcellentGoodAverageBelow AveragePoorOther
How would you describe his/her working relationship skills? Mark only one.

ExcellentGoodAverageBelow AveragePoorOther
How would you describe his/her communication skills? Mark only one.

ExcellentGoodAverageBelow AveragePoorOther
How would you describe his/her decision making process? Mark only one.

ExcellentGoodAverageBelow AveragePoorOther
How would you describe his/her work ethic? Mark only one.

ExcellentGoodAverageBelow AveragePoorOther
How would you describe his/her leadership and teaching ability? Mark only one.

ExcellentGoodAverageBelow AveragePoorOther
How would you describe his/her physical health? Mark only one.

ExcellentGoodAverageBelow AveragePoorOther
How would you describe his/her emotional health? Mark only one.

ExcellentGoodAverageBelow AveragePoorOther
How would you describe his/her general life attitude? Mark only one.

ExcellentGoodAverageBelow AveragePoorOther
How would you describe his/her spiritual maturity?
Be One Together is a support based ministry. Do you foresee the applicant(s) having problems in raising the needed funds for their ministry?
If you were in a position to appoint the applicant to a place in Christian leadership, could you unhesitatingly do so?
Could you work with this person in a close working relationship?
To you knowledge, does the applicant have experience working with children or youth inside or outside of a church setting? Mark only one.

YesNoUnknown
To your knowledge, have there been any complaints about the applicant in regards to working with children or youth?
Is there anything else you would like us to know about this applicant?
Is there anybody else you know who could better asses this individuals character? Please provide name, number/email address.
Attestation: I certify the above information is accurate and truthful to the best of my knowledge. Mark only one.

I agreeI disagree
Signature

Clear
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