Reference Form

Reference Form - 2026
Please fill out this form as honestly as possible. Your answers will be confidential from the applicant.
Your Name*

First NameLast Name
Your email*
example@example.com
Your phone number*

Area CodePhone Number
Applicant's Name*
How do you know the applicant:*
Which of the following best describe your relationship to the applicant (select all that apply):*

Professional: BossProfessional: Co-workerFamily Friend/FriendMentorChurch/Christian communityOther
How long have you known the applicant and how well do you know them?*
Are you related at all to the applicant?*
To your knowledge, has this person made a personal commitment to Jesus Christ?*
Describe the applicant's talents and abilities*
What impresses you about the applicant?*
Does the applicant have any habits or attitudes that are inconsistent with the Christian faith?*

Leadership Ability*

	1	2	3	4	5

1 is Worst, 5 is Best

Christian Faith*

	1	2	3	4	5

1 is Worst, 5 is Best

Responsibility*

	1	2	3	4	5

1 is Worst, 5 is Best

Initiative*

	1	2	3	4	5

1 is Worst, 5 is Best

Flexibility*

	1	2	3	4	5

1 is Worst, 5 is Best

Moral Character*

	1	2	3	4	5

1 is Worst, 5 is Best

Professional-ability (personal hygiene, appearance)*

	1	2	3	4	5

1 is Worst, 5 is Best

Integrity and Honesty*

	1	2	3	4	5

1 is Worst, 5 is Best

Emotional Intelligence*

	1	2	3	4	5

1 is Worst, 5 is Best

Would you like to comment on any of these ratings?
Does the applicant have any tendencies that impair their relationships with others?*
What concerns, if any, would you have in hiring this applicant or asking them to babysit your own children?
Signature*

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Reference Form - 2026