Have you ever observed the applicant with youth? NoYes
If Yes, what was your observation? EXCEPTIONALLY GOODVERY GOODGOODFAIRPOOR
What do you believe to be the applicant's motivation in applying to the Youth Ministry?
How would you rate the applicant's potential success in the Youth Ministry?
EXCEPTIONALLY GOODVERY GOODGOODFAIRPOOR
Comment:
Do you have any reservations in recommending this person?
NoYes
If Yes, please explain:
Please give your frank evaluation of this person by checking one or more items under each of the headings below. Do not check items in areas in which you feel uncertain or which you have had no opportunity to observe.
(a) PHYSICAL CONDITION
Frequently incapacitatedSomewhat below parFairly healthyGood healthExcellent health
(b) SOCIABILITY OR FRIENDLINESS
Avoided by othersTolerated by othersLiked by othersWell-liked by othersSought by others
(c) ACHIEVEMENT (ABILITY TO FORMULATE, EXECUTE, & CARRY PLANS TO CONCLUSION)
Does only what is assignedStarts but does not finishMeets average expectationsResourceful and effectiveSuperior creative ability
(d) LEADERSHIP (ABILITY TO INSPIRE OTHERS & MAINTAIN THEIR CONFIDENCE)
Makes no effort to leadTries but lacks abilityHas some leadership promiseGood leadership abilityUnusual ability to lead
(e) TEAMWORK (ABILITY TO WORK WITH OTHERS)
Frequently causes frictionPrefers to work aloneUsually cooperativeAble to work with those of different personalityMost effective in teamwork
(f) RESPONSIVENESS (TO FEELINGS AND NEEDS OF OTHERS)
Slow to sense how others feelReasonably responsiveUnderstanding and thoughtfulResponds with unusual insight
(g) EMOTIONAL ADJUSTMENT
Yields to urges or cravingsTense, fearful, worriedEasily angered, easily frustratedDownhearted, blue, depressedMaintains balance, self-controlled
(h) TEACHABLE
Rigid, argumentativeHighly opinionatedOpen-mindedWilling to receive instructionEager to receive instruction
(i) PERSEVERANCE (IN COMPLETING TASKS)
Gives up easily or easily discouragedNeeds encouragement to perseverePersists in most circumstancesPersists even under adversity
(j) SELF-IMAGE
InsecureInferiority complexSelf-confidentMay be prone to boastModest, true estimate of self
Do you have any reason to doubt applicant's personal integrity?
NoYes
If Yes, please explain:
Reference Name:
Email:
Applicant's Full Name: