EmailMeForm
Wipe Every Tear Trip Reference Form
For Pastor, Previous Mission Trip Leader, Manager, etc to complete.
Trip Applicant's Name:
*
First
Last
Name of Referee:
*
First
Last
Referee Email Address
*
Referee Phone Number:
*
Referee Position/Title:
*
How did you meet the applicant? How long have you known each other?
*
What are the applicant's strongest character traits? How have you seen these exhibited?
*
What character qualities could this applicant improve on?
*
How has this applicant brought value to your life and others? What assets would he/she bring to a Wipe Every Tear Vision Trip team?
Please check the box that best describes the applicant:
Ability to follow:
*
Below Average
1
2
3
4
5
6
7
Above Average
Ability to work with others:
*
Below Average
1
2
3
4
5
6
7
Above Average
Willingness to be accountable:
*
Below Average
1
2
3
4
5
6
7
Above Average
Concern for others:
*
Below Average
1
2
3
4
5
6
7
Above Average
Emotional stability:
*
Below Average
1
2
3
4
5
6
7
Above Average
Financial stability:
*
Below Average
1
2
3
4
5
6
7
Above Average
Flexibility/Openness to change:
*
Below Average
1
2
3
4
5
6
7
Above Average
Grateful spirit:
*
Below Average
1
2
3
4
5
6
7
Above Average
Initiative/Self-Driven
*
Below Average
1
2
3
4
5
6
7
Above Average
Industrial/Hard worker:
*
Below Average
1
2
3
4
5
6
7
Above Average
Leadership Ability
*
Below Average
1
2
3
4
5
6
7
Above Average
Positive Attitude/Optimism:
*
Below Average
1
2
3
4
5
6
7
Above Average
Reliability:
*
Below Average
1
2
3
4
5
6
7
Above Average
Response to leadership:
*
Below Average
1
2
3
4
5
6
7
Above Average
Response to pressure/stress:
*
Below Average
1
2
3
4
5
6
7
Above Average
Servant heart:
*
Below Average
1
2
3
4
5
6
7
Above Average
Teachable Spirit:
*
Below Average
1
2
3
4
5
6
7
Above Average
What do you appreciate most about this applicant?
Do you have any apprehensions about the applicant joining this trip that Wipe Every Tear should be informed of?
Is there any other information you would like Wipe Every Tear to know about this applicant?
*
Please check one:
*
I highly recommend this person
I recommend this person
I recommend this person with some reservation
I do not recommend this person
Reference Signature
*
Clear
Date:
*
MM
/
DD
/
YYYY
Thank you for your recommendation. God bless you!
