IV Staff or Pastoral Reference Form
Email address *
Purpose Statement

In response to God's love, grace and truth:
The purpose of InterVarsity Christian Fellowship/USA is
to establish and advance at colleges and universities
witnessing communities of students and faculty
who follow Jesus as Savior and Lord:
growing in love for God, God's Word,
God's people of every ethnicity and culture
and God's purposes in the world.
Name of Applicant *
Your answer
Position Applying For: *
Your answer
First Name of Reference *
Your answer
Last Name of Reference *
Your answer
Your Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Phone *
Your answer
Email *
Your answer
Your answer
Thank you.
References are a critical part in our hiring process. We take your comments very seriously as we interview perspective staff members. In addition, your comments will assist in providing the best supervision for this person, if they are hired.

Your prompt response is greatly appreciated. We will need your reference in order to move forward in the hiring process. Please make you best effort to complete this form within a week of receiving it.
How long have you known the applicant? *
Your answer
What is your relationship to the applicant? *
Your answer
Please rate the following descriptions of the applicant on a scale of 1-5. 1 being not accurate and 5 being very accurate. *
Knows self fairly well.
Can function in a job where there is more to do than time to do it.
Has considerable drive and is goal oriented.
Exercises Leadership
Is supportive of others
Can structure his or her own time with minimal supervision
Is quickly at home with new people
Can work with a diverse group
Is cool under pressure
Takes intiative
Is an effective oral communicator
Work best in a team setting
Please comment on any of the characteristics above to help us know the applicant better. *
Your answer
Would you assess the candidate as stronger in developing/coordinating programs or working directly with people? Please illustrate. *
Your answer
Would you assess the applicant is stronger with groups or one to one? Please illustrate. *
Your answer
What spiritual gifts can you affirm in the applicant? Pleas note a context where their gifts were exercised. *
Your answer
What do you admire most about the applicant's spiritual life? *
Your answer
What spiritual disciplines does the applicant practice? *
Your answer
Where have you seen the applicant engaged in ministry or leadership? *
Your answer
With what degree of fruitfulness? *
Your answer
In your opinion does the person meet the biblical norms for leadership? Please state any reservations. *
Your answer
Would you recommend this candidates? *
Do you have any reservation about your recommendation?
Your answer
Is there any further information that would be valuable in our assessment of this applicant?
Your answer
You typed name and zip code serve as your signature below. Please include both. *
Your answer
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