Intern Pastoral Reference
Name of Applicant
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First Name
Last Name
Your first and Last Name:
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Your Church name and Your position
*
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
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-
Area Code
Phone Number
Relationship to applicant
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How long have you known the applicant, and in what capacity?
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Please assess the applicant's level of involvement in your church
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Attends regularly
Attends irregularly
Enthusiastic
Cooperative
Involved
Willing to help
Interested
Distant
Has the applicant served your congregation in any capacity? If so, please give a brief description.
What are the strengths and spiritual gifts of the applicant, according to your observations?
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What is your assessment of the applicant's weaknesses/struggles?
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What is the applicant’s affect on his/her peers?
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Positive
Negative
Neutral
Unknown
Please try to assess the following based on your knowledge of the applicant.
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Rows
Uncertain or not observed
Weak
Fair
Good
Very Good
Outstanding
Spiritual Maturity
Devotion to Christ
Integrity and honesty
Openness to correction
Self-discipline
Willingness to serve
Ability to work with others
Communication skills
Reliability
Teachability
Physical Health
Emotional stability
Family life
Comments on any of the above:
Are there any family or relational factors which might affect the applicant's service in the Prayer Furnace Internship?
*
The internship consists of a 15-20 hour weekly schedule. Do you foresee any difficulties in the response of the applicants to this type of schedule?
*
Would you have the applicant on your staff? Yes or no, and why or why not?
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Recommendation of this applicant for the East Bay Prayer Furnace Internship:
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Highly recommend
Recommend
Recommend with reservations
Do NOT recommend
Any additional comments or concerns that you feel we should know?
If we have any questions or concerns, may we contact you by either email or phone?
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Yes
No
Submit
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