EmailMe Form - Global Outreach Reference Personal Form

Name of Applicant *

First Last

Global Outreach Team: (Country) *

Reference Name *

First Last

Relationship to Applicant: *

How Long have you known the applicant? *

Phone *

### - ### - ####

Email *

Thank you for your honesty and insight to help give us a better understanding of this applicant. Please respond how you best feel the applicant meets each criteria. If you do not feel you can provide input in a specific area, please feel free to leave it blank.

Health

excellent

above average

below average

poor

Initiative

develops original ideas

above average

below average

depends on others

Concern for others

strong

above average

below average

self-oriented

Leadership ability

very apparent

above average

below average

follower

Ability to follow

good

above average

below average

poor

Mental ability

quick in comprehension

above average

below average

slow

Industry

hard worker

above average

below average

lacks tenacity

Reliability

meets obligations

above average

below average

neglects obligations

Cooperativeness

works well with others

above average

below average

prefers to work alone

Disposition

cheerful

above average

below average

depressed

Social Attitude

excellent

above average

below average

poor

Adaptability

flexible, makes good adjustments

above average

below average

needs work

Dress

neat

above average

below average

untidy

Speech

careful

above average

below average

loose

Please explain why you would or would not welcome this person as a fellow co-worker: *

Do you think this person is suited for short-term service cross-culturally? *

Is there anything else you think we should know about this applicant? *