Reference Form

Your Personal Information

Name

Address

May we contact you for further information?

Contact Familiarity

How long have you known the applicant?

In what capacity have you known the applicant?

Preliminary Information

What do you consider to be the applicant's outstanding talents or strengths?

What do you consider to be the applicant's primary areas that need development?

How does he/she exhibit the fruit of the Spirit?

Personal Characteristics

Rating Poor Fair Average Above Average Excellent
Friendliness
Ability to relate to coworkers
Ability to relate to superiors
Respect for authority
Consideration of others
Integrity
Self control
Servant nature
Adaptability
Teachability
Reaction to stress
Emotional stability
Maturity
Common sense and judgment
Self esteem
Attention to detail
Team Player
Ability to follow
Perseverance and consistency
Leadership

Are you aware of any characteristics of this applicant or anything in the applicant’s life that would hinder his/her ability to successfully complete this internship? (If yes, please explain)

What would this person bring to MOVE?

I recommend this applicant:
Strongly
With Reservation
Not at All