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Reference Form


We appreciate your willingness to help us understand this applicant and his/her strengths and weaknesses. It will benefit the applicant and CIY if you are completely open and unreserved with your responses.




Personal Characteristics

Please evaluate the applicant in the following character/personality traits.

Key: 1=Poor,2=Fair,3=Average,4=Above Average,5=Excellent

  1 2 3 4 5
Honesty and transparency
Self-image
Personal Appearance/ Hygiene
Considerate of Others
Flexibility
Servant’s Heart
Physical Capabilities
Dependable
Spiritually Disciplined
Submissive to Authorities
Heart for Evangelism
Moral Standards
Overall Emotional Maturity