Tapawingo CIT Spiritual Reference Form

This reference form is for Tapawingo CIT applicants only.

Reference form is to be completed by a Spiritual Reference

(Pastor, Tapawingo Counselor, College or Youth Pastor, Bible Study Leader).

Your Name*

First NameLast Name

Applicant's Name*

First NameLast Name

You have been asked to complete a reference on behalf of a young lady applying to participate in the Counselor in Training Program at Tapawingo. Please complete and submit this form as soon as possible. Your reference is important to us as we select applicants for this program.

How long have you known the applicant and in what capacity?

Is the applicant a Christian?

YesNoNot sure

For approximately how long?

Does the applicant appear to be growing in her walk with the Lord? If so, what demonstrates this?

In what area(s) does the applicant need to be nurtured in order to grow and improve?

In what area(s) could the applicant benefit from Tapawingo's CIT program?

List two of the applicant's strengths:

List two of the applicant's weaknesses:

To your knowledge, does the applicant smoke, drink or use illegal drugs?

YesNoNot sure

Please select the following choices to the best of your knowledge:

Spiritual Commitment

Check the words that you believe to be applicable:

DedicatedGrowingSearchingUncommitted

Christian Influence

Check the words that you believe to be applicable:

PositivePassiveNegative

Leadership Potential

Check the words that you believe to be applicable:

NaturalLatentFollower

Your Name (again)

First NameLast Name

Your Position / Organization

Phone Number

Area CodePhone Number

E-mail

Date

MonthDayYear

Thank you very much for your assistance!