Honduras Mission Trip Reference Form
Roatan, Honduras
Your Name
First Name
Last Name
Your Email
example@example.com
Your Cell Phone Number
Please enter a valid phone number.
Are you filling this out for a Student or an Adult Volunteer?
Please Select
Student
Adult Volunteer
Student's Name
First Name
Last Name
How long have you known the student?
In what capacity do you know the student?
Adult's Name
First Name
Last Name
How long have you known the adult?
In what capacity do you know the adult?
Please understand, that we want to send students and adults who best represent Jesus and our church. For that reason, honest answers are extremely important and will not be shared with the applicant. The following questions will ask you to rate certain attributes from 1 to 10.
Tenacity
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Organizational Skills
Please Select
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Spiritual Disciplines
Please Select
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Relational Skills
Please Select
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Leadership
Please Select
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Passion for Jesus
Please Select
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Ability to Resolve Conflict
Please Select
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Respectful
Please Select
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Good Listener
Please Select
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10
Honestly, where do you think this teenager/adult lands on a scale from 1-10 in regards to this mission trip, (1--being they just want to have some fun and 10--being they are ready to share the gospel through words and actions). Explain your answer.
Honestly, where would this student/adult land on a scale of 1 to 10. When you've observed them at home, school or church and they see a serving opportunity. (Do they 1-sit back and do nothing or 10-are they the first one to jump in and serve). Explain your answer.
Are there any additional recommendations or concerns you might have?
Submit
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