Staff Reference Form

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This form is to be completed by the applicant's current Navigator staff (or current ministry leader, if not directly involved with the Navigators).

Your answers will help in the acceptance process and will also serve the staff and/or student leader entrusted with the care of this student. Please note any answer or information provided that should be kept confidential in the appropriate comments section below.

Applicant's Last Name *

Applicant's First Name *

Your Last Name *

Your First Name *

Navigator Campus *

If other, please explain

Your ministry title or position *

Your phone number *

xxx-xxx-xxxx

Your email address *

How long has this person been involved in your ministry, how well do you know him/her, and in what capacity? *

What has been this person's involvement? *

ex: in a Bible study, lead a Bible study, just comes to large group meetings

Is there any personal sin struggles in their life that would affect them being a part of STP? *

If you answered yes above, are they seeking out help and honest to someone about these struggles?

Does this person struggle at all with depression, anxiety, or suicide, in a way that would affect them being a part of STP? *

If you answered yes above, are they seeking out help and honest to someone about these struggles?

What position is the student applying for? *

Team Member

Team Leader

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