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Confidential Student Reference
A student that you know is applying to do a Discipleship Training School with YWAM Analco. They have nominated you as a personal reference contact. We would love it if you would fill out this two-page online reference form about the student applicant. It will give us an opportunity to get to know them a bit better, and if this program is a good fit. This school is a five month intensive discipleship and missions course. The training will involve living in community, lectures on character, relationship and theology, ministry in the local community and overseas missions work, possibly in third-world conditions. Thanks for taking the time.
Applicant's Full Name
Your Full Name
Your Email Address
example@example.com
Relationship with the Applicant
Please Select
Pastor
Spiritual Leader
Mentor
Employer
Teacher
Friend
Other
How long have you known the applicant?
I know the applicant:
Little
1
2
3
4
Very Well
5
1 is Little, 5 is Very Well
Evaluation of Applicant's Character
Please briefly comment about each of the following areas:
Ability to Follow
Ability to work with others
Willing to be accountable
Concern for others
Emotional Stability
Financial responsibility
Flexibility/ Openness to change
Health
Initiative/Self-Starter
Work Ethic
Leadership Ability
Mental capacity
Positive Attitude
Reliability/ Meets Obligations
Willingness to serve
Spiritual growth observed
Teachability
Select all that apply
Impatient
Domineering
Anxious
Addictive Behaviors
Critical of Others
Argumentative
Unable to cope with stress
Easily Worried
Given to moods
Easily Offended
Intolerant
Nervous
Easily embarrassed
Erratic in attitudes
Back
Next
Does the applicant display high moral standards?
What do you know of their involvement in church?
The applicant may be doing work with children and youth. Do you recommend this person with regard to their actions, behavior, and moral decisions to work with minors?
What do you feel are the reasons why the applicant is interested in this training course?
Do you know of any prejudices that the applicant has towards any people group or culture?
Do you know the applicant's family?
Yes
No
Is there anything you think would be helpful for us to know about them?
Is there anything else you would like us to be aware of regarding the application of this applicant?
Do you recommend the applicant for this training course?
Yes
Yes, with some reservations (please explain)
No (please explain)
Comments
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