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Short Term Staff Reference Form
Name of Applicant
*
First
Last
What is your relationship with the applicant?
*
Employer
Pastor
Previous YWAM Leader
Teacher
Friend
Other
How well do you know the applicant?
*
How long have known him/her?
*
Please click the appropriate option
Initiative
*
Above Average
Average
Below Average
Don't know
Social Adaptability
*
Above Average
Average
Below Average
Don't know
Concern for others
*
Above Average
Average
Below Average
Don't know
Ability to follow
*
Above Average
Average
Below Average
Don't know
Leadership
*
Above Average
Average
Below Average
Don't know
Judgment / Decision Making
*
Above Average
Average
Below Average
Don't know
Emotional Stability
*
Above Average
Average
Below Average
Don't know
Health
*
Above Average
Average
Below Average
Don't know
Response to pressure
*
Above Average
Average
Below Average
Don't know
Mental Ability
*
Above Average
Average
Below Average
Don't know
Industry / Hard worker
*
Above Average
Average
Below Average
Don't know
Reliability / meets obligations
*
Above Average
Average
Below Average
Don't know
Co-operation
*
Above Average
Average
Below Average
Don't know
Flexibility
*
Above Average
Average
Below Average
Don't know
Punctuality
*
Above Average
Average
Below Average
Don't know
Financial responsibility
*
Above Average
Average
Below Average
Don't know
Personal Appearance
*
Above Average
Average
Below Average
Don't know
Positive Attitude
*
Above Average
Average
Below Average
Don't know
Cleanliness
*
Above Average
Average
Below Average
Don't know
Stewardship
*
Above Average
Average
Below Average
Don't know
Any addition comments?
To what extent is the applicant active in church/ministry/work?
*
Is the applicant prejudiced against any groups, races, or nationalities?
*
Yes
No
Does the applicant display high moral standards?
*
Yes
No
In your consideration which of the following would best describe the applicant's Christian experience?
*
Mature
Contagious
Genuine and growing
Over emotional
Casual
Overall what would you consider to be the applicant’s strong points?
(Please include any special abilities that you may be aware of)
*
What do you see as one of the applicant’s weak points?
*
Is the applicant, to your knowledge, aware of their weak points and are they striving to improve in this area?
*
Please comment on the applicant’s family background
*
Does the applicant, to your knowledge, struggle in relation to any of the following areas: medical, emotional, psychological, smoking, drugs, alcohol? (Feel free to also comment on any other areas you feel we should know about)
*
In your opinion, what are the applicant’s motives for applying to YWAM?
Multiple Choice
*
Yes, wholeheartedly
Yes, with reservation
Not at this time
Additional comments
We are willing to share more information with you about the work of YWAM Las Vegas.
Would you like to receive our Newsletter?
Yes, by email
Yes, by mail
No thank you
Your Name
*
First
Last
Address
*
Street Address
Address Line 2
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Postal / Zip Code
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Phone Number
*
Email
*