Reference Form

Applicant Information

Name of Applicant*

First Name

Last Name

Interested in:

Company

Lead Source

Applying for:*

Location:*

Reference Information

Name*

First Name

Last Name

Phone*

Please enter your phone number starting with your country code (I.e. United States/Canada starts with +1)

Email*

Address*

Address Line 1

Address Line 2

City

State/Province

ZIP / Postal

Country

Relationship to Applicant*

How long have you known the applicant?*

Does he/she demonstrate good moral character?*

To what extent is the applicant active in church work?*

Very Active Active Not Active

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

No Yes

Which of the following would best describe the applicant's Christian experience?*

Mature Contageous Genuine & Growing Over-emotional Superficial

Please add any other relevant comments that we should know about the applicant:

Character Profile*

Character Profile
	Excellent	Good	Poor	Not Observed
Initiative	Character Profile: Initiative (Excellent)	Initiative (Good)	Initiative (Poor)	Initiative (Not Observed)
Self Image	Self Image (Excellent)	Self Image (Good)	Self Image (Poor)	Self Image (Not Observed)
Sensitivity	Sensitivity (Excellent)	Sensitivity (Good)	Sensitivity (Poor)	Sensitivity (Not Observed)
Working Relationship with Others	Working Relationship with Others (Excellent)	Working Relationship with Others (Good)	Working Relationship with Others (Poor)	Working Relationship with Others (Not Observed)
Work Habits/Industry	Work Habits/Industry (Excellent)	Work Habits/Industry (Good)	Work Habits/Industry (Poor)	Work Habits/Industry (Not Observed)
Dependability	Dependability (Excellent)	Dependability (Good)	Dependability (Poor)	Dependability (Not Observed)
Ability to Cope With Stress	Ability to Cope With Stress (Excellent)	Ability to Cope With Stress (Good)	Ability to Cope With Stress (Poor)	Ability to Cope With Stress (Not Observed)
Physical Condition/Health	Physical Condition/Health (Excellent)	Physical Condition/Health (Good)	Physical Condition/Health (Poor)	Physical Condition/Health (Not Observed)
Emotional Stability	Emotional Stability (Excellent)	Emotional Stability (Good)	Emotional Stability (Poor)	Emotional Stability (Not Observed)
Disposition/Enthusiasm	Disposition/Enthusiasm (Excellent)	Disposition/Enthusiasm (Good)	Disposition/Enthusiasm (Poor)	Disposition/Enthusiasm (Not Observed)
Perseverance	Perseverance (Excellent)	Perseverance (Good)	Perseverance (Poor)	Perseverance (Not Observed)
Stewardship	Stewardship (Excellent)	Stewardship (Good)	Stewardship (Poor)	Stewardship (Not Observed)
Moral Conduct	Moral Conduct (Excellent)	Moral Conduct (Good)	Moral Conduct (Poor)	Moral Conduct (Not Observed)
Speaking/Teaching	Speaking/Teaching (Excellent)	Speaking/Teaching (Good)	Speaking/Teaching (Poor)	Speaking/Teaching (Not Observed)
Motivating/Training	Motivating/Training (Excellent)	Motivating/Training (Good)	Motivating/Training (Poor)	Motivating/Training (Not Observed)
Organizing	Organizing (Excellent)	Organizing (Good)	Organizing (Poor)	Organizing (Not Observed)
Personal Evangelism	Personal Evangelism (Excellent)	Personal Evangelism (Good)	Personal Evangelism (Poor)	Personal Evangelism (Not Observed)
Working with Youth	Working with Youth (Excellent)	Working with Youth (Good)	Working with Youth (Poor)	Working with Youth (Not Observed)
Working with Musicians	Working with Musicians (Excellent)	Working with Musicians (Good)	Working with Musicians (Poor)	Working with Musicians (Not Observed)
Leading Worship	Leading Worship (Excellent)	Leading Worship (Good)	Leading Worship (Poor)	Leading Worship (Not Observed)
Solo Performance	Solo Performance (Excellent)	Solo Performance (Good)	Solo Performance (Poor)	Solo Performance (Not Observed)

Additional Comments

Would you recommend this applicant to serve with YWAM Ships?*

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