Online Reference

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General information

Applicants Name

Your Name

Your E-mail

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

Consistent
Frequent
Occasional
Seldom

Church Attendance

Consistent
Frequent
Occasional
Seldom

Church service / ministry

Consistent
Frequent
Occasional
Seldom

Witnessing

Consistent
Frequent
Occasional
Seldom

Challenging Others Spiritually

Consistent
Frequent
Occasional
Seldom

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

Strongly Agree
Agree
Disagree

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

Strongly Agree
Agree
Disagree

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

Yes
No

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Personality (1=withdrawn; 10=outgoing)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 (1=irresponsible; 10=extremely dependable)

Judgment (1=poor; 10=very discerning)

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

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