Reference Form

Reference Form
Thank You for agreeing to be a reference for a potential staff member of Living Fountain Bible Camp. We appreciate you taking the time to fill out this form to the best of your ability. This document will be kept confidential between the LFBC board and yourself.
Name*

First NameLast Name
Email*
example@example.com
Name of Applicant*

First NameLast Name
Relationship to Applicant*
How long have you known them?*
What level of communication have you had with the applicant over the last 6 months?*

SurfacePersonalVery Personal
To your knowledge does the applicant's personality and lifestyle provide a positive Christian role model to young people?*

YesNo
Does the applicant relate to the non-Christian world in a warm, positive and secure manner?*

YesNo
How well does the applicant get along with others of the opposite sex? (Select all that apply)

MatureCommunicates EffectivelyCommunicates AppropriatelyFlirtatiousDresses to ImpressSeeks Relationships Boldly
Do you believe this applicant has the social maturity, spiritual maturity, and emotional maturity to have a good experience serving at LFBC?*

Mature enoughMarginalAllow God to work more first
To your knowledge has the applicant been convicted of any crime that has not been addressed by a court including but not limited to child abuse, sexual abuse, assault or child pornography? If yes, please explain*

NoYes
Please Explain
Please list a few strong attributes/characteristics of the applicant*
Please list any weak attributes/characteristics of the applicant*
Check any traits you have seen displayed in the applicant:

ImpatientArgumentativeIntolerantDomineeringSullenCockyVery CriticalCynicalEasily EmbarrassedDepressedIrritableFrequently WorriedNervousTensePrejudicedRacistIn an Unhealthy RelationshipCliquishLacking in Good HumourProne to Addictive Behaviour
Please comment on any traits checked off
Overall recommendation:*

Recommend without reservationMarginal acceptance with some reservationsDefinitely not recommended
If you have reservations, please explain
Based on our Statement of Faith and Core Values, do you think the applicant would agree with this statement? We believe that the only way to heaven is through the acceptance that the Lord Jesus Christ died on the cross as a representative and substitutionary sacrifice for our sins. All who believe in Him are justified on the grounds of His shed blood. We believe that He was bodily resurrected and at present acts for us as a High Priest and Advocate*

YesMaybeNo
Explain further if you feel the need to
Based on our Statement of Faith and Core Values, do you think the applicant would agree with this statement? We believe that marriage between one man and one woman is an instituted and defined by God. That the family is God's design for companionship, care, procreation, nurturing children, and building healthy stable societies and churches. Our programs and procedures will seek to uphold, support and develop healthy marriages.*

YesMaybeNo
Explain further if you feel the need to
Is there anything else you feel we should know?
Signature

Clear
Should be Empty: