Pastor/Mentor Reference
Impact DTS Winter 2023
Applicant Name:
First Name
Last Name
Pastor/Mentor Name:
First Name
Last Name
Church Name:
Pastor/Mentor Email:
example@example.com
Confirm Email:
How long have you known the applicant?
How well and in what context do you know the applicant?
Please comment on the following qualities to the best of your knowledge.
Rows
Unknown
Poor
Average
Above Average
Self-Discipline
Teachable
Reliability
Punctual
Integrity
Perseverance
Stewardship
Cleanliness
Work Ethic
Flexibility
Initiative
Team Player
Attitude
Willingness to Serve
Commitment to Christ
Study Habits
Leadership
Comments:
Does the applicant display any of these qualities?
Rows
Unknown
Observed at Times
Often
Not an Issue
Argumentative
Procrastination
Dishonest
Irritable
Easily Angered
Questionable Character
Inappropriate Relationships
Emotional Instability
Eating Disorder
Behavior Disorder
Substance Abuse
Sexual Immortality
Comments:
Do you believe the applicant has any identity issues?
Is the applicant reliable? Please explain.
How does the applicant respond to authority?
Comment on the applicant's sensitivity to needs and attitudes of others?
How does the applicant deal with relationships of the opposite sex?
Do you have concerns about the financial integrity of the applicant? If yes, please explain.
Can you comment on the applicant's relationship with God and how they express their dedication to Jesus in everyday life?
Do you believe the applicant is ready for missionary work? Please explain.
What is something we can do to help the applicant grow in their relationship with God and respond to their call to missions?
What qualities set the applicant apart from others?
Are there any other concerns about the applicant?
Signature
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Submit
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