EmailMe Form - Old Long Term Staff Reference Form

Name of Applicant *

First Last

What is your relationship with the applicant? *

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? *

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 City State / Province / Region Postal / Zip Code Country / Region

Phone Number *

Email *