EmailMe Form - DTS Friend Or Family Reference

Name of Applicant *

First Last

Name of Family Member or Friend *

First Last

Relationship with Applicant: *

Email *

Phone

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

A picture of yourself

How well do you know the applicant?: *

Very well

Well

Casually

How long have you known the applicant?: *

Years
Months

Does he/she demonstrate good moral character? *

Is he/she prejudice against any groups, races, or nationalities? *

Yes

No

Ad any other relevant comments we should know about the applicant in order for us to be of best service to
them: *

Would you recommend this applicant to do a Discipleship Training School with YWAM Cap-Haiti? *

Evaluate the following statements about the applicant base on your best knowledge:

*

Privacy

By using this form, you agree to the storage and processing of your data through this site. The data sent will be used only for the purpose of processing your request. In some cases, we may handle so-called “special categories of personal data” about you, which may be considered sensitive. Before we handle sensitive personal data about you, we require your consent to do so. We therefore ask you to use the dedicated contact forms on our website for submitting any sensitive data. The contact forms enable you to give us the consent required under applicable data protection legislation. Such consent may of course be withdrawn at any time. A limited amount of our personnel will have access to your sensitive personal data.

Date *

MM / DD / YYYY

If you have any questions feel free to contact us at: ywamcaphaitischools@gmail.com

	Excellent	Good	Poor	Not Observed
Initiative
Self image
Sensitivity
Working with others
Work Habits
Dependability
Ability to cope with stress
Physical health
Emotional stability
Disposition/enthusiasm
Perseverance
Stewardship
Moral Conduct
Speaking/Teaching
Motivating/Training
Organising
Personal Evangelism
Working with Youth
Follow Through With Commitment