Tapawingo CIT Spiritual Reference Form

Tapawingo CIT Spiritual Reference Form

This reference form is for Tapawingo CIT Applicants only. Reference form is to be completed by a Spiritual Reference (Pastor, Tapawingo Counselor, Bible Study Leader.)
Applicant's Name

First NameLast Name
You have been asked to complete a reference on behalf of a young lady applying to participate in the Counselor in Training Program at Tapawingo. Please complete and submit this form as soon as possible. Your reference is important to us as we select applicants for this program.
Your Name

First NameLast Name
Your Organization / Position
Phone Number
Email
How long have you known the applicant and in what capacity?
Is the applicant a Christian?

YesNoNot sure
Does the applicant appear to be growing in her walk with the Lord? If so, what demonstrates this?
In what area(s) does the applicant need to be nurtured in order to grow and improve?
To your knowledge, does the applicant smoke, drink or use illegal drugs?

YesNoNot sure
Would you want your child or teenager placed under the direct charge, influence, or care of this individual?

AbsolutelyYes, with slight reservationProbably notNo
Please select the following choices to the best of your knowledge:
Spiritual Commitment

DedicatedGrowingSearchingUncommitted
Christian Influence

PositivePassiveNegative
Emotional Stability

ExcellentAverageBelow AveragePoor
Leadership Potential

ExcellentAverageBelow AveragePoor
Is the applicant in good physical condition (our program is rigorous--can she run 3 miles in 30 mins)?
Thank you very much for your assistance!
Should be Empty:

Tapawingo CIT Spiritual Reference Form

Please select the following choices to the best of your knowledge:

Thank you very much for your assistance!