Summer Missionary Reference Form Name(Required) First Last Email(Required) Phone(Required)Applicant's Name:(Required) In what capacity (i.e. teacher, mentor, youth leader, etc.) do you know the applicant?(Required) How long have you known the applicant?(Required) What are a few of the applicant's strengths?(Required) How would you describe the applicant's character?(Required)How would you describe the applicant's spiritual maturity?(Required)Do you know of any character weakness which might limit the effectiveness of the applicant within the position for which they are applying? If so, please explain.(Required)Please provide your assessment of the applicant in the following traits.References will remain private and will not be shared with the applicant. Kindness(Required) Superior Above Average Average Below Average Poor Disciplined(Required) Superior Above Average Average Below Average Poor Walks with Integrity(Required) Superior Above Average Average Below Average Poor Organizational Skills(Required) Superior Above Average Average Below Average Poor Time Management(Required) Superior Above Average Average Below Average Poor Takes Initiative(Required) Superior Above Average Average Below Average Poor Works Well with Others(Required) Superior Above Average Average Below Average Poor Dependability(Required) Superior Above Average Average Below Average Poor Cooperative(Required) Superior Above Average Average Below Average Poor Willingness to Learn(Required) Superior Above Average Average Below Average Poor Adaptability(Required) Superior Above Average Average Below Average Poor Are you aware of any past history with emotional instability that could impact this applicant's work with a group of children, youth or adults? Please describe.(Required) Are you aware of any emotional conditions that could require additional support at the present time? Please describe.(Required) Anger Management(Required) Superior Above Average Average Below Average Poor Conflict Management(Required) Superior Above Average Average Below Average Poor To your knowledge, is this applicant aware of appropriate boundaries when working with children and youth? Please explain:(Required) Spiritual Maturity:(Required) Superior Above Average Average Below Average Poor Response to Authority:(Required) Superior Above Average Average Below Average Poor If given the opportunity, would you hire this person? Please explain.(Required) Final Comments: is there anything else you think we should know about the applicant?CAPTCHA Δ
