CEEC Clergy Reference Form

Clergy Reference Form

CONFIDENTIAL
THIS REFERENCE FORM AND ITS CONTENTS ARE CONFIDENTIAL.

The individual providing this form has given your name as a reference in applying for ministry credentials with the Continuing Evangelical Episcopal Communion. We rely on people like you to help us accurately appraise our ministerial applicants. This includes identifying positive or negative situations from the past or present conditions which affect the applicant’s ministry effectiveness or suitability for admission into a ministry position of trust and responsibility. We appreciate your honest estimate of this applicant’s personality and character traits, and will treat your reply as confidential.

PLESE NOTE:
If you are related to the applicant please discontinue filling out this form and contact the applicant. The Credentials Committee requires that all references be unrelated to the applicant. If you have known the applicant for LESS THAN THREE YEARS, please discontinue filling out this form and contact the applicant.

It is the policy of the Continuing Evangelical Episcopal Communion that reference forms are NOT made available to the applicant.
What is the name of the person for whom you are giving a reference?*

First NameMiddle NameLast NameSuffix
How long have you known the applicant?
What is your relationship to the applicant?
For example, Pastor, Teacher, Employer, Co-Worker, Friend, Neighbor, etc
How frequently do you typically interact with the applicant?

Daily or almost daily contactWeeklyMonthlyOnly occasionally, less than monthlyVery infrequently, less than once a year
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Please rate the clergy applicant by selecting one or more items under each of the headings below. If you wish, describe briefly and concretely specific instances which support or interpret your judgment. You will have the opportunity to add any additional notes you wish.
Based upon your relationship with the applicant, would you say that s/he exhibits evidence of salvation; that is, a personal relationship with Jesus Christ?*

S/he clearly exhibits evidence of salvationI believe s/he likely has a personal relationship with Jesus ChristI'm unaware if s/he has a personal relationship with Jesus ChristI do not believe s/he has a personal relationship with Jesus ChristI'm certain s/he does not have a personal relationship with Jesus ChristDon't know
Please feel free to provide any additional comments with any insights/concerns you have regarding this applicant’s personal relationship with Jesus Christ.
Based upon your relationship with the applicant, how would you rate their knowledge of the Bible?*

A deep and extensive understanding of the BibleA good working knowledge of the BibleA rudimentary knowledge of the BibleDon't know
Please feel free to provide any additional comments with any insights/concerns you have regarding this applicant’s knowledge of the Bible.
Sociability or Friendliness*

Avoided by othersTolerated by othersLiked by othersWell-liked by othersSought by othersDon't know
Intelligence*

Learns and thinks slowlyAverage mental abilityAlert; has a good mindBrilliant; exceptional capacityDon’t know
Achievement (ability to formulate, execute, and carry plans to conclusion)*

Does only what is assignedStarts but does not finishMeets average expectationsResourceful and effectiveSuperior creative abilityDon't know
Leadership (ability to inspire others and maintain their confidence)*

Makes no effort to leadTries but lacks abilityHas some leadership promiseGood leadership abilityUnusual ability to leadDon't know
Perseverance (in completing task)*

Gives up easily or easily discouragedNeeds encouragement to perseverePersists in most circumstancesPersists even under adversityDon’t know
Self-image*

Inferiority complexSelf-confidentMay be prone to boastModest, true estimate of selfDon’t know
Wisdom in use of money*

Talks frequently of debtor financial worriesExpects others to meet needsCarelessExtravagantCareful, has a budgetDon’t know
Teamwork (ability to work with others)*

Frequently causes frictionUsually cooperativePrefers to work aloneAble to work with those of different personality or temperamentMost effective in teamworkDon’t know
Physical condition*

Frequently incapacitatedSomewhat below parFairly healthyGood healthDon’t know
Responsiveness (to the feelings and needs of others)*

Slow to sense how others feelReasonably responsiveUnderstanding and thoughtfulResponds with unusual insight and considerationDon’t know
Emotional Adjustment*

Yields to urges or cravingsTense, fearful, worriedEasily angered, easily frustratedDownhearted, blue, depressedMaintains balance, self-controlledDon’t know
Teachability*

Rigid, argumentativeHighly opinionatedOpen-mindedWilling to receive instructionEager to receive instructionDon’t know
Please feel free to comment with any insights/concerns you have regarding this applicant’s qualifications in the previous areas.
How is this person gifted for vocational Christian service?*
As representatives of Jesus Christ, CEEC clergy are responsible to demonstrate a lifestyle consistent with His character and are expected to be men and women of high moral character whose sexual conduct is consistent with the standards of Scripture. This includes abstaining from any pattern of addiction as well as abstaining from homosexual, premarital, and extramarital sexual conduct. Do you believe the applicant is living by the standards of conduct as stated above?*

YesNoUncertain
Please feel free to provide additional information regarding your answer:
If the applicant is married or engaged, how would you evaluate their relationship?*

Applicant not marriedDon’t knowSuperficialDetached, aloofReservedWarm, growingGood communication, excellent relationship
Share any comments you wish regarding the applicant's relationships:
Listed below are some of the tendencies that may reduce the effectiveness of the applicant. Place a check mark by any characteristics or traits that you have noted in the applicant:

ImpatientCritical of othersArgumentativeDomineeringLacking tactEasily offendedSelf-centeredSullenIrritableCockyAloofDiscouragedRudeNervousEasily embarrassedQuick-temperedFrequently worriedDepressedImpersonalAnxiousTenseUnteachableLacking in humor or unable to take a jokePrejudiced towards groups, races or nationalitiesRigid, not adaptaableGiven to exclusive and absorbing relationships, i.e. "crushes"
Please share any other comments you wish regarding behavioral characteristics:
What do you believe to be the applicant’s reasons for entering Christian ministry?*
How would you rate the applicant’s potential success in Christian ministry?*

ExcellentVery GoodGoodFairPoor
Do you have any reservations in recommending this person?

YesNo
Please explain your reservations:
If there are additional facts which we should know, please share them here. You may include the names and addresses of additional references which you think would be of help in evaluating this application. Thank you.
Your Contact Information

In case we have additional questions and wish to contact you
Your Name

First NameLast Name
Your Organization (If Applicable)
Your Position (If Applicable)
Your Email
example@example.com
Your Phone Number

Area CodePhone Number
Should be Empty:

Clergy Reference Form

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Your Contact Information