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Reference Form

Thank you for completing this brief reference form. We appreciate your honest and thoughtful feedback.

Reference Form

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Your Name*
First Last
Your Phone Number*
Applicant's name*
First Last
This recommendation is from a
- Pastor
- Professor/Teacher
- Professional Acquaintance
- Layperson
- Employer
How well do you know the applicant?*
Please list the applicant's top 3-5 strengths*
Please list the applicant's 3-5 most significant challenges or weaknesses*

Relationships in social settings
- Liked by others
- Tolerated by others
- Avoided by others
- Not observed
Relationships with the opposite sex
- Relates well and seems at ease
- In between
- Insensitive or insecure
- Not observed
Spiritual maturity
- Mature and growing
- In between
- Spiritually inmature
- Not observed
Response to authority
- Respectful
- In between
- Disrespectful
- Not observed
Response to stress
- Copes with stress well
- In between
- Doesn't handle stress well
- Not observed
Cooperation
- Works well with others
- Has some difficulty with group work
- Simply cannot work with others
- Not observed
Initiative and follow-through
- Shows excellent initiative and follow-through
- In between
- Needs significant accountability to get things done
- Not observed
Communication skills
- Clear and confident
- Average
- Below average
- Not observed
Academic ability
- Is a strong student
- Faces learning challenges but overcomes
- Struggles to do well in an academic context
- Not observed
Local church involvement
- Regularly and consistently involved
- Occasionally involved
- Not actively involved
- Not observed
Leadership Ability
- Excellent leadership ability
- Desire to lead but may lack some skills
- Little or no leadership ability or desire
- Not observed
Overall recommendation
- I recommend this applicant
- I recommend this application with reservation
- I am unable to recommend this applicant
Additional comments, if necessary
Signature
I attest that the information I have provided is accurate to the best of my ability.

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