Leadership Reference Form

Leadership Reference Form

General Information
Name of Applicant (required)*

First NameLast Name
What is your relationship to the applicant? (required)
How well and for how long have you known the applicant?
I have observed this person

at homeat workat schoolin Bible study groupsat social activities

Further Information
How long has the applicant attended your church? (Only applicable if you're a church leader.)
In what ways has the applicant been involved in your church and its programs?
Does the applicant display high moral standards?

YesNo
Would you enjoy having this person work with/under you?

YesNo
Do you recommend the applicant to work with YWAM IMPACT PHILIPPINES?

WholeheartedlyWith some reservationNot at all
Further Comments:
Your Information
Name (required)

First NameLast Name
Phone Number (required)
Please enter a valid phone number.
Email (required)
example@example.com
Digital Signature (required)

I declare that the contents of this confidential reference are correct to the best of my knowledge.
Signature

Clear
Should be Empty:

	EXCELLENT	GOOD	FAIR	POOR
Personal Motivatoin
Self-Discipline
Team Work
Seeks to Serve
Ability to Follow Others
Dependability & Faithfulness
Adaptability & Flexibility
Trustworthiness
Communication Skills
Tactfulness
Self Image
Emotional Stability
Personal Appearance

Character Qualities