Reference Form: Antioch Discipleship School
You have been referred to Antioch Community Church, by the applicant, for information concerning the character and fitness for the Discipleship School. The Discipleship School staff would appreciate your honesty, straightforward answers, evaluating both the assets and liabilities of the applicant. Discipleship School standards are high because of the special demands of this school and the positions of spiritual leadership in which people are placed. Thus, the school needs accurate information about the applicant in a variety of areas in order to make a fair appraisal of qualifications. 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 it is completed.
Applicant's Name *
Your answer
Phone Number: *
Your answer
You are a: *
Required
How long have you know the applicant? *
Your answer
Reference Name *
Your answer
Questionnaire
Please discuss the following ares, based on your knowledge of the applicant.
How well would you say you know the applicant? *
Required
Is there any indication that the applicant's decision to do the discipleship school has been significantly influenced by a desire to escape personal, family, or vocational situations? *
Required
If yes, please explain:
Your answer
Does the applicant have the ability to make decisions and follow through on them? *
Required
If no, please explain:
Your answer
How does the applicant respond to authority? *
Your answer
Can the applicant take responsibility and demonstrate leadership? *
If so, please give examples.
Your answer
Comment on the applicant's sensitivity to the needs, feelings, and attitudes of others: *
Your answer
Comment on the applicant's ability to work with others: *
Your answer
What is the applicant's attitude toward other groups, races, or nationalities? *
Your answer
To your knowledge, how does the applicant respond under difficult circumstances? *
Your answer
Do you have any reservations concerning the financial integrity and/or the indebtedness of the applicant? *
Required
If yes, please explain:
Your answer
Have you ever had reason to question the applicant's morals? *
Required
If yes, please explain:
Your answer
What outstanding abilities or talents does the applicant have? *
Your answer
What degree of confidence would you have in the applicant in Pastoral Ministry? *
Lowest
Highest
Please comment: *
Your answer
What degree of confidence would you have in the applicant in Leadership? *
Lowest
Highest
Please comment: *
Your answer
In your opinion, what are the 3 areas of growth most needed by the applicant through this discipleship school? *
Your answer
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