Year long Internship Reference Form

Internship Reference Form

Thank you for taking the time to fill this reference form! It is very helpful as we consider the applicant.
Name of Internship Applicant

First NameLast Name
Email of Internship Applicant
example@example.com
Your Personal Information

Please provide us with your information
Your Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone number
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
What is the best way to contact you?
How long have you known the applicant for?
In what capacity/relationship?
How well do you know the applicant?
How long has the applicant been a Christian?
Have you observed the applicant in the role for which he or she is applying?
How did the applicant manage his/her responsibilities in that role?
Do you believe the applicant to be mature enough to leave home and adjust to a ministry environment?
If No, please explain
Strengths and Weaknesses:
What strengths would the applicant bring to this position (e.g., spiritual, skills, talents, character, personality, leadership, etc.)?
What characteristics of the applicant do you feel need further work of development?
Please describe any limitations you are aware of that might restrict the applicant's participation and ministry in our community setting.
Please rate the applicant on the following

If you are unsure or don't know, please select 0.
Spiritual example

0

1

2

3

4

5

6

7

8

9

0 is Several inconsistencies, 9 is Great role model
Love for others

0

1

2

3

4

5

6

7

8

9

0 is Uncaring, 9 is Compassionate
Spiritual maturity

0

1

2

3

4

5

6

7

8

9

0 is Not mature, 9 is High level of maturity
Witnessing by word/life

0

1

2

3

4

5

6

7

8

9

0 is Inconsistent, 9 is Lifestyle of witness
Eagerness to serve & minister

0

1

2

3

4

5

6

7

8

9

0 is Self focused, 9 is Initiator
Personal Bible study/prayer

0

1

2

3

4

5

6

7

8

9

0 is Irregular, 9 is Diligent
Emotional stability

0

1

2

3

4

5

6

7

8

9

0 is Unstable, 9 is Stable
Sociableness

0

1

2

3

4

5

6

7

8

9

0 is Unsocial/Isolates themselves, 9 is Initiates conversation w/others
Attitude toward others

0

1

2

3

4

5

6

7

8

9

0 is Abrasive, 9 is Very friendly
Social maturity

0

1

2

3

4

5

6

7

8

9

0 is Immature/Misses Social Cues, 9 is Very Socially aware
Team player

0

1

2

3

4

5

6

7

8

9

0 is Uncooperative, 9 is Great team player
Work ethic

0

1

2

3

4

5

6

7

8

9

0 is Lazy, 9 is Very responsible
Initiative

0

1

2

3

4

5

6

7

8

9

0 is Passive, 9 is Initiates frequently
Judgment

0

1

2

3

4

5

6

7

8

9

0 is Often makes poor decisions, 9 is Very discerning
Ability to communicate

0

1

2

3

4

5

6

7

8

9

0 is Poor Communicator, 9 is Great communicator
Response Constructive criticism

0

1

2

3

4

5

6

7

8

9

0 is Defensive, 9 is Highly responsive
Use of time

0

1

2

3

4

5

6

7

8

9

0 is Tends to procrastinate, 9 is Purpose driven
Please add any further comments you feel would be helpful to us
I recommend this applicant
Please explain
Please explain
I have answered honestly and described the applicant to the best of my ability.
Date

MonthDayYear
Date
Should be Empty:

Internship Reference Form

Your Personal Information

Strengths and Weaknesses:

Please rate the applicant on the following