Cross
Followers
CONFIDENTIAL REFERENCE ON______________________________________
(Applicant’s
Name)
Please be as objective as possible in your evaluation of the applicant. This reference will be most valuable to us when completed as honestly as possible by someone who knows the applicant well. Serving as a student missionary requires a genuine commitment and spiritual maturity. You are an important link in helping us determine whether the applicant meets these criteria. Please keep this in mind as you fill out this evaluation. After you have completed the reference, please seal in an envelope (provided by the applicant) and return to the applicant.
To be completed by the person
filling out this reference:
Your name______________________________________________Phone _____________________
Address____________________________________City______________State____Zip__________
In what capacity have you known
the applicant?
o Minister o Youth Minister/Worker o Teacher o Other ________
How long have you known the applicant? ___________ to ______________
How well would you say you know the applicant?_________________________________________
Check the areas of ministry you
believe the student would serve BEST in:
o Day camp o Preaching o Youth ministry o Evangelism o Teaching o Preschool ministry
o Drama ministry o Creative Arts o Children’s ministry o Vocal ministry o Church/Community o Other ______________
Please place a check in each box that describes the applicant. You may check more than one box, if necessary. Leave blank if you cannot answer.
PERSONAL RELATIONSHIPS
Peer Relationships Social
Relationships Interpersonal
Relations
o Generally avoided o Avoids social relationships o Loner
o Slow to make friends o Awkward in social situations o Reserved
o Makes friends easily o Well mannered o Average
o Very popular o Socially adept o Outgoing
o Overbearing
Family Relationships Relationships
with Opposite Sex
o Healthy and supportive o Insensitive/Insecure
o Healthy but not supportive o Sensitive/Considerate but awkward
o Dysfunctional but supportive o Feels at ease
o Dysfunctional but not
supportive o Relates well
EMOTIONAL MATURITY
Responsive to Stress/Pressure Self-Assurance
o Withdraws o Insecure
o Becomes critical or domineering o Needs encouragement
o Adapts slowly o Confident
o Copes well o
Egotistical
SPIRITUAL MATURITY
Application of Bible Knowledge Level of Spiritual Maturity
o Little o Demonstrates spiritual immaturity; hypocritical
o Average o Inconsistent spiritual experience; up and down
o Much o Growing; showing signs of maturity
o Maturing Christian; fairly consistent
o Mature and consistent
WORKING WITH OTHERS
Ability to Work with Supervisors Supervisory Needs
o Rebellious spirit o Needs excessive supervision
o Cooperative in most situations o Needs accountability and encouragement
o Independent worker o Does well with routine supervision
o Needs little close
supervision
Working Relationships Ministry Setting
o Has problems relating to others o Could work alone
o Sometimes has difficulty
interacting o Has average
ability to work w/others
o Works well with others o Needs a partner or a team
o
Could serve in either setting
Communication Skills
o Unable to communicate clearly
o Average ability to communicate
o Clear, confident in
communicating
LEADERSHIP
On a team, this person would be: When conflict arises, this person responds with:
o A low-initiative follower o Defensive/Critical attitude o Confrontation
o A self-starting team member o Withdrawal/Avoidance o Lack of cooperation
o A supportive team member o Openness to resolving conflict o Peacemaking
o The leader
Applicant’s involvement in a local church:
o Not actively involved
o Somewhat involved; participates occasionally
o Involved; participates regularly
o Very involved; participates
frequently
Are there some things about
the applicant that his direct supervisor should be aware of, or cautioned
about, to help ensure good team relationships and to help the applicant grow in
both character ad ministry skills?
o Yes o NO
If yes, please explain:
Do you have any hesitations or reservations about the applicant’s qualifications? o YES o NO
If yes, please explain:
If you were going on a missions project, would you want this person on your team? o YES o NO
OVERALL RECOMMENDATION
o Team leader with major responsibilities oGood team person; a good follower
o Good assistant team leader with some responsibilities oMarginal acceptance; have some reservation
oNot recommended
_________________________________________________ ____________________________
Signature_________________________________________________________Date_________________