5 General Reference Form
- 1. General Reference Form TO THE APPLICANT: Please complete the information below and provide a stamped envelope addressed to: Youth With A Mission-Nashville: Personnel Department – P.O. Box 58 – Adams, TN 37010 Name of Applicant: _______________________________________________ Phone #: ___________________________ Street Address: _______________________________________ City: ________________ State: _____ Zip: ___________ Applying For: _____________________________________________________ Date Beginning: ____________________ I, the above named applicant, waive any right I have to read or obtain copies of this recommendation knowing that this waiver is not required as a condition for admission. Applicant’s Signature: _______________________________________________________ Date: ____________________ FOR REFERENCE ONLY The above applicant has applied for admission to Youth With A Mission – Nashville. Serious consideration will be given to your comments. Therefore, we ask that you complete this form carefully. Your early response will be most appreciated as the applicant’s file cannot be considered until all forms have been received by this office. Thank you for taking time to help us in this way. We sincerely appreciate your cooperation. Please check the following and comment where necessary: Your relationship to the applicant: □ Parent □ Employer □ Teacher □ Friend □ Other: ___________________________ How well do you know the applicant?: □ Very Well □ Well □ Casually □ Not Well Please rate the following and provide comments where necessary: Excellent Good Fair Poor No Observation Initiative □ □ □ □ □ Self – Discipline □ □ □ □ □ Self – Image □ □ □ □ □ Ability to Work with Others □ □ □ □ □ Concern for Others □ □ □ □ □ Desire to Serve □ □ □ □ □ Social Acceptability □ □ □ □ □ Work Ethic □ □ □ □ □ Dependability □ □ □ □ □ Emotional Stability □ □ □ □ □ Judgment / Decision Making □ □ □ □ □ Adaptability □ □ □ □ □ Ability to Follow □ □ □ □ □ Ability to Lead □ □ □ □ □ Financial Stewardship □ □ □ □ □ Personal Devotions □ □ □ □ □ Perseverance □ □ □ □ □ Additional Comments: _______________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________
- 2. 1. How long have you known the applicant?: __________ years 2. How long have they attended your church?: __________ years 3. Were you aware of the applicant’s intention to join us on staff? □ No □ Yes 4. Please describe the applicant’s work ethic: ________________________________________________________ ___________________________________________________________________________________________ 5. Describe the applicant’s ability to work with others: ________________________________________________ ___________________________________________________________________________________________ 6. Please comment on the applicant’s strengths and gifting’s: ___________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ 7. Is the applicant’s personal walk with the Lord: □ Zealous □ Bold □ Reserved □ Unknown Please explain: _______________________________________________________________________________ ___________________________________________________________________________________________ 8. Please comment on the applicant’s family background (if known): ______________________________________ ___________________________________________________________________________________________ 9. What is your recommendation for the applicant? □ To be accepted on staff □ Not to be accepted on staff Is your recommendation: □ Strong □ Moderate □ Hesitant 10. Does the applicant seem to have any mental or emotional disabilities?: □ No □ Yes If yes, please explain:__________________________________________________________________________ ___________________________________________________________________________________________ 11. Can you give any other information concerning applicant that might aid us in our decision?: ___________________________________________________________________________________________ ___________________________________________________________________________________________ 12. Do you think that (at least) a two-year commitment to missionary service would be beneficial, or unwise at this point to the applicant? □ Beneficial □ Unwise Please explain: _______________________________________________________________________________ ___________________________________________________________________________________________ FOR REFERENCE ONLY Name: _________________________________________ Title: ___________________ Phone #: ___________________ Address: _________________________________________ Email: ____________________________________________ City: _________________________________________ State: ___________________ Zip Code: ____________________ Signature: _______________________________________________________________ Date: _____________________ Would you like to receive further information about YWAM – Nashville? □ No □ Yes