DTS · Pastoral Reference Form
The applicant has applied for admission to our DTS, in YWAM Cáceres (Spain). We would appreciate it if you would supply the information requested on this form in order to aid us in evaluating the applicant’s suitability for admission. We will take your evaluation of this applicant and the information that you provide very seriously. Thanks you for helping us in this way.
Applicant’s Full Name *
Your name *
Address *
Telephone *
E-mail *
Your relationship to the applicant *
Pastor, teacher, friend, etc.
How long have you known the applicant? *
In what situations have you observed the applicant? *
A YWAM student/participant must be able to accommodate himself readily to unaccustomed living conditions and new social situations. Adjustments have to be made concerning diet, social customs, work habits, climate changes, etc. Keeping the challenge of these unusual demands in mind, please rate the applicant by placing a check by the appropriate descriptions:
Physical Condition *
Emotional Resilience *
to trying situations
Intelligence *
Willingness to Serve *
Christian experience *
Teamwork *
Relationships *
Leadership *
Ability to inspire others and maintain their confidence
Achievement *
Ability to formulate, execute and carry plans to conclusion
Responsiveness *
To the needs of others
Response to Authority *
How one responds when given instructions
Has the applicant ever been a source of dissension or disunity? If so, was it a one-time occurance or is it a continuing pattern? Please explain. *
Is he/she prejudiced against groups, races or nationalities? If so, please explain. *
Please comment on the applicant’s family background and present family life, if known. *
Describe any physical limitations the applicant may have. *
To your knowledge has the applicant ever had psychiatric treatment or any mental or emotional problems? If so, please explain. *
As far as you know, has the applicant ever been arrested for any offense other than minor traffic violations? If so, please explain. *
Has the applicant ever been involved in drug abuse, homosexuality, adultery, cults or the occult? If so, please explain. *
What do you see as the applicant’s strong points? *
What, in your opinion, are the applicant’s weak points? *
Would you recommend the applicant for acceptance by Youth with a Mission? *
Please explain your reasons for answering as you did. *
Date *
Never submit passwords through Google Forms.
This form was created inside of YWAM Madrid. Report Abuse