Discipleship School Reference
An applicant has referred you to us to provide information concerning his/her character and fitness for Epicentre’s Discipleship School (DSchool). We appreciate your honest, straight forward answers, evaluating both his/her assets and liabilities. Due to the demands of the school and the positions of spiritual leadership our students will be placed, our standards for applicants are high. Accurate information will not only help us make a fair appraisal of the applicant’s qualification for the class, it will also better assist the staff to walk with the student for the coming year if he/she is accepted.

Your PROMPT COOPERATION in filling out this form will be greatly appreciated. Be assured that your reply will be held in strict confidence. The applicant will not see this.
This Reference Form is for... *
Type in DSchool Applicant Name
Your Name *
How long have you known each other? *
Your Email *
Cellphone Number *
(###) ###-####
How well would you say you know the applicant? *
In what context do you know the applicant? Please explain. *
Short Answers
Please answer the following questions regarding the applicant to the best of your knowledge.
1. Is there any indication that the applicant’s decision to do the Discipleship School has been significantly influenced by: *
A. A desire to escape personal, family or vocational situation?
If yes, explain.
B. An unrealistic appraisal of what is involved in Christian service?
Clear selection
If yes, explain.
2. Does the applicant have the ability to make decisions and follow through on them?
Clear selection
Please explain.
3. How does the applicant respond to authority?
Please rate the applicant on the following categories
A. Pastoring Others *
Poor
Well
Comments
B. Leadership *
Poor
Well
Comments
C. Teachability *
Poor
Well
Comments
D. Time Management *
Poor
Well
Comments
E. Financial Management *
Poor
Well
Comments
F. Responsibility/Reliability *
Poor
Well
Comments
More Short Answers
Please answer the following questions regarding the applicant to the best of your knowledge.
4. Can the applicant take responsibility and demonstrate leadership? *
Give examples.
5. Comment on the applicant's...
A. Sensitivity to the needs, feelings and attitude of others
*
B. Ability to work with others
6. What is the applicant's attitude toward other groups, races or nationalities? *
7. To your knowledge, how does the applicant respond under difficult circumstances? *
8. Are you aware of any instance(s) of mental or emotional illness or difficulty that the applicant has had? *
If yes, please explain.
9. To your knowledge, has the applicant ever used narcotics, hallucinogens or drugs not prescribed by a physician? *
If yes, please explain.
10. Do you have any reservations concerning the financial integrity and/or the indebtedness of the applicant? *
If yes, please explain.
11. Have you ever had a reason to question the applicant's morals? If yes, please explain. *
If yes, please explain.
12. Does the applicant have an outstanding ability or talent? *
13. What do you know of the applicant's relationship with God? *
14. What are some strengths, gifts and passions of the applicant? *
15. How well does the applicant get along with others? What are your observations of him/her in social settings? *
Areas of growth *
Listed below are some behaviors or attitudes which, if present, may signal the need for character growth in the applicant. Check all characteristics of traits you have noted.
Required
Comments regarding the above list
Is it your conviction that he/she is ready for the Epicentre Discipleship School? That he/she will make the time, financial and scheduling adjustments to give him/her fully to all that God has for him/her? *
*
Please explain your answer
Do you have any concerns about the applicant? *
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