REFERENCE FORM APPLICANT INFORMATION NAME * First Name Last Name MAIDEN NAME ADDRESS Address 1 Address 2 City State/Province Zip/Postal Code Country PHONE (###) ### #### REFERENCE INFORMATION NAME * First Name Last Name CHURCH NAME IF APPLICABLE MAILING ADDRESS * Address 1 Address 2 City State/Province Zip/Postal Code Country EMAIL * HOW LONG HAVE YOU KNOWN THE APPLICANT? * HOW WOULD YOU DESCRIBE YOUR RELATIONSHIP? * VERY CLOSE CLOSE CASUAL OTHER DO YOU BELIEVE THAT THE APPLICANT HAS A PERSONAL RELATIONSHIP WITH JESUS CHRIST? * YES NO DO YOU BELIEVE THE APPLICANT POSSESSES THE NECESSARY QUALITIES TO BE A LEADER IN THE BODY OF CHRIST? * YES NO IF NO, WHAT QUALITIES ARE THEY LACKING? HOW DOES THE APPLICANT INFLUENCE THE SPIRITUALITY OF OTHERS? * FAVORABLY NEUTRAL NEGATIVELY NOT SURE HAVE YOU EVER KNOWN THE APPLICANT TO ENGAGE IN QUESTIONABLE MORAL CONDUCT? * YES NO WHAT DO YOU CONSIDER THE APPLICANT'S STRONG POINTS? * WHAT DO YOU CONSIDER THE APPLICANT'S WEAK POINTS? * PLEASE SHARE WITH US ANY INFORMATION YOU MAY HAVE ABOUT THE APPLICANT THAT WOULD HELP IN OUR EVALUATION? * From your personal knowledge of the individual, would you: * Recommend him/her as a qualified candidate for leadership training Recommend him/her with slight reservations as a candidate for leadership training Heistate in recommending him/her for leadership training I'm unable to honestly recommend him/her as a qualified candidate for leadership training Signature * First Name Last Name Thank you!