Mission Trip Reference Form IMPORTANT: The applicant has waived any right to read or obtain copies of this recommendation. The applicant has applied for admission to Youth With A Mission. Serious consideration will be given to your comments; therefore, we ask that you complete this form carefully. Your early response will be most appreciated, as the applicant's file cannot be considered until this office has received all forms. Please feel free to make additional comments and send them to [email protected]le.org Thank you for taking your time to help us in this way. We sincerely appreciate your cooperation.Name of Applicant:*Known Applicant For How Long?*Please check the following, and comment when necessary.Your relationship to the applicant is:*EmployerTeacherPastorParentHow well do you know the applicant?*Very WellWellCasuallyHow would you assess the applicant'sAbility to Follow*SuperiorAbove AverageAverageBelow AverageConcern for Others*SuperiorAbove AverageAverageBelow AverageDecision-Making*SuperiorAbove AverageAverageBelow AverageEmotional Stability*SuperiorAbove AverageAverageBelow AverageHealth*SuperiorAbove AverageAverageBelow AverageInitiative*SuperiorAbove AverageAverageBelow AverageLeadership*SuperiorAbove AverageAverageBelow AveragePersonal Appearance*SuperiorAbove AverageAverageBelow AverageSocial Adaptability*SuperiorAbove AverageAverageBelow AverageComments:Christian Character*Well BalancedAverageUnstableCooperativeness*Works Well with OthersAverageAvoids Group ActivitiesDisposition*CheerfulAveragePassiveFinancial Responsibility*Honors ObligationsAverageNeglectfulFlexibility*Open to ChangeAverageUnyieldingIndustry*Hard WorkerAverageLacks PersistenceMental Ability*Quick to ComprehendAverageSlowPunctuality*PunctualAverageOften LateReliability*Meets ObligationsAverageNeglects ObligationsComments:Is the applicant active in church work? (Please give details.)*Do they display high moral standards?*YesNoPlease Explain:Are they prejudiced against any group, race, or nationality?*YesNoPlease Explain:*With reference to their Christian service, do you consider the applicant to be:*DedicatedAverageCasualPlease Explain:Which of the following would best describe the applicant’s Christian experience?*MatureContagiousGenuine and GrowingOver-EmotionalSuperficialPlease Explain:Please comment on the applicant’s family background (If Known):What could YWAM do to aid the applicant’s personal development?Please add any other pertinent remarks (i.e. medical, psychological, drug or alcohol abuse, criminal record, occult practices, etc.).Is the applicant financially responsible?*Would you recommend the applicant for acceptance into Youth With A Mission?*YesWith Some ReservationNoPlease Explain:Personal InformationYour Name:*Title:*Phone*Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Please type your full name to certify that the information given above is accurate*Today's Date* Date Format: MM slash DD slash YYYY
