DTS Reference Form 2026/2027

Personal Reference Form

Thank you for your time. Please complete the following reference as thoughtfully and honestly as possible. Our leadership team will prayerfully review your responses in order to be well prepared for this applicant's participation in the DTS School Program. Inflated or padded answers actually hinder this preparation process. Please feel free to offer your most accurate and honest input so that we can foster an environment in which they can grow to their highest potential. Your responses will be confidential within our leadership team. Thank you.

Applicant's Name

First NameLast Name

Name of person making the referral

First NameLast Name

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Email

example@example.com

How long have you known the applicant?

What is your relationship to the applicant?

How would you rate the applicant in the following areas?

Ability to follow

Teachability

Christian character

Concern for others

Decision making

Emotional stability

Communication skills

Leadership skills

Social skills

Academic skills

How does the applicant display the following?

Cooperativeness

Flexibility

Initiative

Perseverance

Punctuality

Reliability

Respect of others' convictions

Self-discipline

Please answer the following questions to the best of your ability:

What do you consider to be the applicant's strengths? (include special abilities)

Is he/she prejudiced against any groups, races or nationalities?

Does he/she display high moral standards? (if no, please explain)

Has the applicant proven on any occasion to be unreliable, dishonest or of questionable character?

Would you recommend the applicant for acceptance by Youth With A Mission?

Would you like this reference to remain confidential?