Reference Form

The applicant has applied for admission to Youth With A Mission's Discipleship Training School. Serious consideration will be given to your comments, therefore we ask that you complete this form carefully. Your
timely 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.

Name of Applicant *

Relationship to Applicant *

For how long? *

Which is the applicant applying for? *

How well do you know the applicant? *

Very Well

Well

Casually

Your Name *

Title *

Phone *

Email *

Preferred way to be contacted if necessary: *

Phone Call

Text

Email

*

	Superior	Above Average	Average	Below Average	Comment
Initiative	Superior	Above Average	Average	Below Average	Comment	Comment
Social adaptability	Superior	Above Average	Average	Below Average	Comment	Comment
Concern for others	Superior	Above Average	Average	Below Average	Comment	Comment
Self Motivation	Superior	Above Average	Average	Below Average	Comment	Comment
Ability to follow	Superior	Above Average	Average	Below Average	Comment	Comment
Leadership	Superior	Above Average	Average	Below Average	Comment	Comment
Judgement	Superior	Above Average	Average	Below Average	Comment	Comment
Decision Making	Superior	Above Average	Average	Below Average	Comment	Comment
Emotional stability	Superior	Above Average	Average	Below Average	Comment	Comment
Health	Superior	Above Average	Average	Below Average	Comment	Comment
Personal appearance	Superior	Above Average	Average	Below Average	Comment	Comment

Please check one for each row: *

	Superior	Average	Below Average
Mental Ability	Superior	Average	Below Average
Industry	Superior	Average	Below Average
Reliability	Superior	Average	Below Average
Cooperativeness	Superior	Average	Below Average
Flexibility	Superior	Average	Below Average
Christian Character	Superior	Average	Below Average
Disposition	Superior	Average	Below Average
Punctuality	Superior	Average	Below Average
Financial Responsibility	Superior	Average	Below Average

How does the applicant respond to constructive criticism? Please share an example if possible. *

How does the applicant handle conflict? Please share an example if possible. *

In what capacity is the applicant active in church work? *

Does he/she have high moral standards? *

Yes

No

Please Explain *

Is she/he prejudice against any group, races, or nationalities? *

Yes

No

If yes, please explain *

With reference to his/her Christian service would you consider the applicant to be *

dedicated

average

casual

Please Explain *

Please comment on the applicant's Christian experience. *

Please comment on the applicant’s family background (if known) *

What could YWAM do to aid in the applicant's personal development? *

Please add any other pertinent remarks: (medical, psychological, drug or alcohol abuse, criminal record or occult practices, etc.) *

Would you recommend the applicant for acceptance into Youth With A Mission? *

Yes

Yes, with reservation

No

Please Explain *

I agree that my answers above are true to the best of my knowledge of the applicant. *

clear

Would you like to receive more information about YWAM?

Yes

No