Language
English (US)
Español
YWAM BLUEFIELDS - Confidential Reference Form
*Your submission is confidential and will not be shared with the student. Please be as honest as possible to help with our discipleship process of the applicant.
Name of Applicant
*
First Name
Middle Name
Last Name
What is your relationship with the applicant?
*
Pastor
Employer
Leader
Friend
Other
How well do you know the applicant?
*
Seleccione
Very Well
Good
Little
How long have you known him/her?
*
Seleccione
1-3 years
4-10 years
all your life
Type a question
*
Strong
Mature
Average
Developing
Weak
Leadership
Christian Character
Postive Sprit
Ability to motivate others
Ability to receive correction
Self-Confidence
Willing to serve
Emotional Stability
Ability to Communicate
Intellectual Ability
Financial Responsibility
Maturity
Integrity
Trustworthiness
Teachable
Assurance of Calling
Any Additional Comments?
To what extent is the applicant active in church/ministry/work?
*
Is the applicant prejudiced against any groups, races, or nationalities?
*
Seleccione
Yes
No
Does the applicant display high moral standards?
*
Seleccione
Yes
No
In your consideration which of the following would best describe the applicant's Christian experience?
*
Mature
Contagious
Genuine & Growing
Over Emotional
Casual
Overall what would you consider to be the applicant’s strong points?(Please include any special abilities that you may be aware of)
*
What do you see as one of the applicant’s weak points?
*
Is the applicant, to your knowledge, aware of their weak points and are they striving to improve in this area?
*
Seleccione
Yes
No
Some but not all
Please comment on the applicant’s family background
*
Does the applicant, to your knowledge, struggle in relation to any of the following areas: medical, emotional, psychological, smoking, drugs, alcohol? (Feel free to also comment on any other areas you feel we should know about)
*
In your opinion, what are the applicant’s motives for applying to YWAM?
*
Below is a list of tendencies that could reduce the success of a Christian worker, please indicate if there are any that apply to the applicant.
Impatient
Intolerant
Argumentative
Dominant
Arrogant
Critical
Shy
Easily Offended
Frequently Discouraged
Frequently Worried
Nervous
Anxious
Irresponsible
Bad Humor
Withdraws to self
Prejudiced
Gossip
Causes fights (or friction)
Infatuated
Impulsive
Without Humor
Dishonest
Lazy
Passive
Indifferent
Unstable
To your knowledge, has the applicant ever been arrested for any public offense?
*
Seleccione
Yes
No
Please explain the arrest
*
YOUR PERSONAL INFORMATION
Name
*
First Name
Last Name
Are you a pastor?
*
Seleccione
Yes
No
Is your congregation standing behind the applicant with enthusiasm and prayer?
*
What is your opinion about the applicant’s desire to participate in a DTS?
*
Address
Street Address
Street Address Line 2
City
State / Province/Department
Country
Phone Number
*
Signature
Thank you for your time in filling out this reference form. If you would like more information about DTS, YWAM BLUEFIELDS or YWAM International, please contact us via email at reneymigi@ywamnicaragua.org. Or visit us on our website: www.ywambluefields.org or www.ywam.org
Guardar
Submit Application
Should be Empty: