ADS Reference - Employer or Teacher
Thank you for taking time to fill out this character reference form. The applicant that gave you this form has applied to be a student in the Antioch Discipleship School (ADS) beginning in September 2018. This reference is for information concerning the applicant's character and fitness for this school. The Training School staff values your honest, straightforward answers, evaluating his/her strengths and weaknesses. Your prompt cooperation in filling out this form
will be greatly appreciated. Be assured that your reply will be held in strict confidence and that the applicant will not see this form after you complete it.
Applicant's Name *
Your answer
Reference Name *
Your answer
Reference Phone Number *
Your answer
Reference Email
Your answer
Reference Occupation *
Your answer
How long have you known the applicant? *
Your answer
How well do you know the applicant *
Does the applicant have the ability to make decisions and follow through with them? If no, please explain. *
Your answer
How does the applicant respond to supervision? *
Your answer
Can the applicant take responsibility and demonstrate leadership? Give examples: *
Your answer
Comment on the applicant's sensitivity to the needs, feelings and attitudes of others. *
Your answer
To your knowledge, how does the applicant respond under difficult circumstances? *
Your answer
Have you ever had reason to question the applicant’s morals? If yes, please explain. *
Your answer
What are the applicant's strengths? *
Your answer
What, in your opinion, are some areas of growth most needed by the applicant? *
Your answer
Please assess the applicant in the following areas: *
Excellent
Above Average
Average
Below Average
Poor
Unknown
Self-discipline
Adaptability
Dependability
Punctuality 
Social poise
Communication skills
Respected by peers 
Integrity
Teachability
Perseverance in completing a task
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