.: Reference

This form is to be filled out by a pastor or other spiritually mature Christian individual who knows the mission applicant well enough to accurately answer the questions below. All information in this form will be seen only by our director (Joél Malm) and program leader(s) and never by the applicant. This reference is also available in PDF format.

**All applicable fields are required

Your Information (person filling out form)

First Name Last Name Age
Organization you represent (if applicable)
City State/Province Country
Phone Number (country & city code)	Type:
E-mail Address
Have you committed your life to Jesus Christ?
Do you regularly attend a local Christian Church?
Name of your church

Personal Reference (info on the applicant)

Applicant's First and Last Name

What position is the applicant applying for?

How long have you known the applicant?

What is your relationship to the applicant?

How well do you know the applicant?

Have you been involved with or witnessed the applicant in any Christian ministry roles?

If so, please describe how you have seen the applicant serve/minister

What do you think are the applicant's greatest strengths/spiritual gifts?

What are the applicant's greatest weaknesses/needed areas of growth?

In the following section, please evaluate the applicant in each character area/personality trait according to whether you think the area is one of the applicant's strengths, weaknesses, or is neutral (not really a strength or weakness):

Honesty and Transparency
Self-image
Personal Appearance
Relationship with others
Relationship to parents
Reaction to stress
Servant's heart
Self motivation
Punctuality
Ability to work without supervision
Understanding of God's character
Concept of and attitude towards authorities
Heart for evangelism
Ability to mentor/disciple new believers
Moral standards
Overall emotional maturity
Overall spiritual maturity

Before answering the following questions, please click here and read the description of the type of person we need for the position the applicant is applying for (description will open in a separate window).

Have you known of the applicant's plans to do mission work?

What do you believe is the applicant's primary motivation for wanting to do this?

If other, please describe:

How well does the applicant fit the description of the type of person we're seeking?

If you were in our position, seeking the type of person we're seeking, would you accept the applicant?

Why or why not?

Please comment on anything else you feel we should know regarding the applicant, including things from the past that you feel might negatively affect him/her in the present:

Signature

By signing below, I affirm that the above is true, accurate, and complete to the best of my knowledge.

Electronic Signature (Type your full name)	Date (mm/ dd/yyyy)