| Ministry Training Center

Full Name*

First Name Last Name

Email*

Phone Number*

Address*

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

Applicant you are referencing*

First Name Last Name

Email address of applicant you are referencing*

Your relationship to the applicant*

Rate each of the following:

1 (poor) - 5 (excellent) or Unknown. Note: These are not judgment statements, but ratings based on your observations and interactions with the applicant.

Ability to disciple and mentor others*

Administration and Organization*

Christian witness in the community*

Conduct with the opposite sex*

Conflict resolution*

Dependability*

Emotional stability*

Evidence of the fruit of the Spirit*

Freedom from sin and addictions*

Home environment*

Industriousness and work ethic*

Leadership skills*

Mercy for the hurting and needy*

Relating to people from other cultures*

Sensitivity to others*

Social and relational skills*

Willingness to serve*

Comments*

Applicant's effect on community*

Applicant's relationship to authority*

Describe one area in which you have seen growth in the personal character of the applicant over the last year.*

Rate each of the following:

1 (not a problem) - 5 (serious concern) or Unknown. Note: These are not judgment statements, but ratings based on your observations and interactions with the applicant.

Careless*

Critical*

Depressed*

Divisive*

Easily embarrassed*

Easily offended*

Immature*

Impatient*

Impulsive*

Intolerant*

Moody*

Prejudiced*

Proud*

Selfish*

Worried*

Comments*

Relates best with (multiple selections are fine):

Applicant's interest in missions*

Has the applicant been involved in abusive relationships, as a victim or an abuser?*

How likely would you be to hire the applicant to serve with your mission? (1 being unlikely, 5 being very likely)*

Best time/days to call (if necessary)*

Comments

Do you know others who might appreciate more information about the Ministry Training Center? If so, please list their names and contact information below.

After you click "Submit" you will receive an email confirmation and be redirected to our web page about the Long Term Orientation.

LTO or Intern Reference (Hidden Field)

Reference Record Type (HIdden Field)