Name of person you are writing this reference about
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First Name
Last Name
Your Name
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First Name
Last Name
How long have you known the applicant? And in what relationship?
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How well do you know the applicant?
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Very well
Well
Not very well
Almost not at all
Please rate the candidate by circling one or more items under each of the headings below. If you wish, use the comment space at the end of this section to describe briefly and concretely specific instances, which support or interpret your judgment. Do not circle items of which you feel uncertain or in which you have had no opportunity to observe the applicant.
Physical Condition
Sociability or friendliness
Intelligence
Achievement (ability to formulate, execute, and carry plans to conclusion)
Leadership (ability to inspire others and maintain their confidence)
Teamwork (ability to work with others)
Responsiveness (to the feelings and needs of others)
Emotional adjustment
Teachability
Perseverance (in completing task)
Self-image
Wisdom in use of money
How does the applicant respond to authority?
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Can the applicant take responsibility and demonstrate leadership? Give examples.
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What is the applicant’s attitude toward other groups, races or nationalities?
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How does the applicant respond under difficult circumstances?
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Does the applicant have any outstanding ability?
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(Supervisors, directors, professors, and others in a position to observe, please comment professionally.)Evaluate the applicant’s ability in his profession, i.e. as a doctor, teacher, nurse, homemaker, student, etc.
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If the applicant is married, how would you describe his/her marriage relationship? Any comments to add?
ex. Good communication, Detached, Aloof, Warm, Growing, Superficial, Reserved, Don’t know
Are you aware of any instance of mental or emotional illness or difficulty which the applicant or members of the applicant’s family have had? If yes, please explain.
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To your knowledge, has the applicant ever used narcotics, hallucinogens, or drugs not prescribed by a physician? If yes, please explain.
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Do you have any reservations concerning the financial integrity and/or the indebtedness of thevapplicant? If yes, please explain.
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Have you ever had reason to question the applicant’s morals or personal integrity? If yes, please explain.
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Do you have any concerns or reservations regarding the applicant’s sexual lifestyle or purity? If yes, please explain.
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Listed below are some of the tendencies which, if present, may reduce the effectiveness of the applicant. Check any characteristics or traits which you have noted.
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Have you noted any indication that the applicant’s decision to join the staff of ACC has been significantly influenced by: (if yes, please explain)
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1. A desire to escape personal, family, or vocational situations
2. An unrealistic appraisal of what is involved in Christian service
3. An extreme dependence upon Antioch
What do you believe to be the applicant’s motivation in applying to Antioch?
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How is this person gifted for vocational Christian service?
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What degree of confidence would you have in this applicant in personal ministry & a leadership position? Please explain.
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Please summarize this applicant’s fitness for Christian service, adding any considerations that may influence his/her effectiveness.
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Adaptability
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Excellent
Average
Below Average
Poor
Unknown
Dependability
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Excellent
Average
Below Average
Poor
Unknown
Punctuality
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Excellent
Average
Below Average
Poor
Unknown
Common Sense
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Excellent
Average
Below Average
Poor
Unknown
Social Poise
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Excellent
Average
Below Average
Poor
Unknown
Communication Skills
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Excellent
Average
Below Average
Poor
Unknown
Neatness of person
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Excellent
Average
Below Average
Poor
Unknown
Respected by peers
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Excellent
Average
Below Average
Poor
Unknown
Spiritual Maturity
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Excellent
Average
Below Average
Poor
Unknown
Knowledge of the Bible
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Excellent
Average
Below Average
Poor
Unknown
Fruitful witness for Christ
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Excellent
Average
Below Average
Poor
Unknown
Consistency of Christian Lifestyle
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Excellent
Average
Below Average
Poor
Unknown
Is there anything else you think we should know about this applicant?
