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Impact Training - Reference Form

If you have been asked to complete an online reference by one of our applicants, please complete the following form.

Thank you for taking the time to assist us in this way.

General information

 

Applicant's name

Your name

Your email

Your tel. no. (inc country and area code)

Your Address

  

Your relationship with the applicant

 

How long has the applicant been a born-again Christian?

What is your relationship to him/her?

The length of your relationship with the applicant is:

  

Please indicate areas of consistency in the applicant's life

 

Bible study

  

Church attendance

  

Church service / ministry

  

Witnessing

  

Challenging others spiritually

  

Is the applicant mature enough to leave home and adjust to a working community?

  

Which, if any, of the following does the applicant use? Tobacco, alcohol, habit-forming drugs?

I believe the applicant shows particular ability in

I have no reservations concerning the applicant's honesty and integrity

  

To your knowledge has the applicant ever been involved in the occult?

  

Do you recommend this applicant as suitable to attend the Impact Training Course? If not, why not?

  

Applicant profile

 

In order to give us a better profile of the applicant as a person, please rate the applicant in each of the following areas. Enter a number from 1-10, where 1 is weak and 10 is strong, where the number, in your opinion, best represents where the applicant fits on the scale given for each category. Add any comments as appropriate.

Self-control (1=very little; 10=extreme self-control)

Committed believer (1=uncommitted; 10=highly committed)

Diligent student (1=lazy; 10=industrious)

Teachable (1=rebellious; 10=highly responsive)

Home background (1=unsupportive; 10=supportive)

Personality (1=withdrawn; 10=outgoing)

Relationships (1=abrasive; 10=congenial)

Emotional stability (1=unstable; 10=stable)

Initiative (1=never initiates; 10=takes initiative)

Leadership (1=never leads; 10=leader)

Dependability (irresponsible; 10=extremely dependable)

Judgment (1=poor; 10=very discerning)

Please add any further comments that could be helpful to us.