Personal Reference

Confidential Reference For:

Prefix

First Name

Last Name

Address

Phone

In what capacity have you known the applicant? Pastor
Other Minister
Colleague
Friend

How many years have you known the applicant?

What level of communication have you had with the applicant in the past 6 months? None
Surface
Personal
Very Personal

Social Acceptability Generally Avoided
Liked by some/Slow to make friends
Liked by most/Makes friends easily
Very popular

Family Relationships Stable and supportive
Stable but not supportive
Unstable but supportive
Unstable and not supportive

Social Manners Awkward in social situations
Average
Well mannered
Socially adept

Relationships with the Opposite Sex or Spouse Insensitive/inconsiderate/inappropriate
Sensitive and considerate but awkward
Feels at ease
Relates very well

Response to Pressure and/or Ambiguity Withdraws socially and emotionally
Becomes overly critical of others
Dominates situations and/or people
Adapts after time
Copes well

Religious Expression Demonstrates spiritual immaturity/hypocritical
Up and down/inconsistent spiritual experience
Young, but showing signs of maturity
Maturing Christian, fairly consistent
Mature and consistent

Working with Peers Often has problems relating to others
Sometimes has difficulty interacting with others
Average ability to work with others
Able to work well with others

People/Task Orientation Task/Goal oriented
People/Relationship oriented
Balanced between the two

Works Well Alone
On a Team
Equally either on a team or alone

Communication Skill Does not communicate clearly
Average ability to communicate
Excellent communicator

Leadership Ability Follower/low initiative
Strong supportive team member
Untapped leadership potential
Authoritarian leader
Strong quiet type leader
Natural effective leader

Need for Close Supervision Does not respond well to those in authority
Needs excessive supervision/guidance
Needs accountability and encouragement to set goals and follow through
Works effectively with normal supervision

Response to Conflict Defensive/critical attitude
Withdrawal/avoidance
Inappropriate confrontation
Uncooperative
Positive confrontation
Open to resolving conflict

Effectiveness in One-on-One Witnessing Below Average
Not Observed
Average
Above Average

Commitment to Christian Ideals Below Average
Not Observed
Average
Above Average

Participation in Local Church Below Average
Not Observed
Average
Above Average

Adaptability to New Situations/Major Change Below Average
Not Observed
Average
Above Average

Self-Esteem/Self-Image Below Average
Not Observed
Average
Above Average

Sense of Humor Below Average
Not Observed
Average
Above Average

Financial Judgement Below Average
Not Observed
Average
Above Average

Moral and Ethical Conduct Below Average
Not Observed
Average
Above Average

Energy Level Below Average
Not Observed
Average
Above Average

Awareness of Current Events/World Dynamics Below Average
Not Observed
Average
Above Average

Ability to Handle Isolation/Loneliness Below Average
Not Observed
Average
Above Average

Ability to Handle Stressors Below Average
Not Observed
Average
Above Average

Ability to Take Time Off and Relax Below Average
Not Observed
Average
Above Average

Relations to Persons of Different Racial and Cultural Backgrounds Below Average
Not Observed
Average
Above Average

Awareness of Own Faults and Shortcomings Below Average
Not Observed
Average
Above Average

Vocational Focus Below Average
Not Observed
Average
Above Average

Does the applicant have any undesirable habits or traits? If yes, please explain.

Do you have any reservations about the applicant's qualifications? If yes, please explain.

Would you want to work with the applicant in an overseas setting? If no, please explain.

Rate the applicant's potential for effective overseas service Should be discouraged
Below Average
Average
Above Average
Superior

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Personal Reference

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