EmailMe Form - Kairos School of Ministry Reference Form (DISCUSS)

How do you know the Applicant

Pastor

Employer

Personal

Your Name

First Last

Name of Applicant

First Last

Name of Church/Business

Phone

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

Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

How long have you known the applicant?

Maximum Allowed: 200 words.

What the greatest strengths of the applicant?

Maximum Allowed: 200 words.

What the greatest weaknesses of the applicant?

Maximum Allowed: 200 words.

For each description area, please indicate an answer using a 1-5 scale where (1) is "Very Poor" and (5) is "Excellent"

	Very poor	Poor	Good	Very Good	Excellent
Spiritual Maturity	1	2	3	4	5
Personal Integrity	1	2	3	4	5
Intellectual Ability	1	2	3	4	5
Communication Skills	1	2	3	4	5
Physical Health	1	2	3	4	5
Works with Others	1	2	3	4	5
Devotion to Christ	1	2	3	4	5
Self-Discipline	1	2	3	4	5
Willingness to Serve	1	2	3	4	5
Reliability	1	2	3	4	5
Family Life	1	2	3	4	5
Good Attitude	1	2	3	4	5
Responsibilty	1	2	3	4	5

Give three words that best describe this Individual

Comments on any of above

I recommend this applicant for admission to Kairos School of Ministry

Highly Recommended

Recommended

Recommended with Reservation

Do not Recommend

Signature

Date Time

MM / DD / YYYY