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ywamburtigny.com
Isaiah 58:10
"Pour yourself out for the hungry
and start giving of yourself
to the down and out"
Esaïe 58.10
"Engage-toi en faveur des
affamés et dévoue-toi
pour les opprimés"
Volunteer Reference Form
Thank you for taking time to fill out this reference
Type the answers with a text editor first and then copy and paste, because you might lose everything you typed if you have an internet connection failure while submiting the online application form.
Your Full Name
(required)
Email
(valid email required)
Permanent Mailing Address
(required)
Phone / Cell Phone / Fax Number
(required)
Name of Applicant you are filling out a reference for...
(required)
Position Applying for...
Starting Month and Year of the Commitment
What is your relationship to the Applicant?
Employer
Previous YWAM leader
Friend
Teacher
Pastor
How well do you know the applicant?
Very Well
Well
Casually
For how long?
(required)
Initiative
Average
Above Average
Below Average
Social Adaptability
Average
Above Average
Below Average
Concern for Others
Average
Above Average
Below Average
Ability to Follow
Average
Above Average
Below Average
Leadership
Average
Above Average
Below Average
Judgement/Decision Making
Average
Above Average
Below Average
Emotional Stability
Average
Above Average
Below Average
Health
Average
Above Average
Below Average
Response to Pressure
Average
Above Average
Below Average
Mental Ability
Average
Above Average
Below Average
Industry/Hard Worker
Average
Above Average
Below Average
Reliability/Meets Obligations
Average
Above Average
Below Average
Cooperativeness
Average
Above Average
Below Average
Flexibility
Average
Above Average
Below Average
Punctuality
Average
Above Average
Below Average
Financial Responsibility
Average
Above Average
Below Average
Personal Appearance
Average
Above Average
Below Average
Positive Attitude
Average
Above Average
Below Average
Cleanliness
Average
Above Average
Below Average
Stewardship
Average
Above Average
Below Average
Additional Comments
To which extent is the applicant active in church work?
(required)
Is the applicant prejudiced against any groups, races or nationalities?
(required)
Does the applicant display high moral standards?
(required)
In your consideration which of the following would best describe the applicant’s Christian experience?
Casual
Contagious
Mature
Genuine and Growing
Over Emotional
Overall what would you consider to be the applicant’s strong points?
(required)
What do you see as one of the applicant’s weak points?
(required)
Is the applicant to your knowledge aware of their weak points and are they striving to improve in this area?
(required)
Please comment on the applicant’s family background
(required)
Does the applicant to your knowledge struggle in relation to any of the following areas: medical, emotional, psychological, smoking, drugs, alcohol, pornography?
(required)
In your opinion, what are the applicant’s motives for applying to the U of N?
(required)
What could the U of N do to aid the applicant’s personal development?
(required)
Pastors only: Is your congregation/group standing behind the applicant with enthusiasm and prayer?
Would you recommend the applicant for acceptance?
Yes, Wholeheartedly
Yes, but I have reservations
No
Comment about Acceptance
(required)
I certify that all information on this reference forms is accurate to the best of my knowledge and judgment:
Yes
No
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