Reference form

Step 1 of 3

33%

Dear Referee,
The person who has sent you the link to this form has applied to be a student, staff member or mission builder with Youth With A Mission (YWAM) Adelaide. From your knowledge of the applicant, please comment on the following areas to help us assess the applicant's suitability. These comments will be kept in total confidence, although we fall under the Federal Privacy Act, which means that applicants do have access to their files.

Applicant's Name*

First Last

Application is for:*

Your Name (Referee)*

First Last

''I am filling this form as a...''*

Pastor/Spiritual leader

Employer/Business Associate/Teacher

Friend

How long have you known the applicant?*

On a scale of 1 to 10, how well do you feel you know the applicant?*

10 = very well; 1 = not very well

If you have any questions about or technical issues with this application then please email us at [email protected]

Please rate the applicant on a scale of 1 to 5:
5 = Exceptional; 1 = Extremely poor. Please comment on any areas below 3.

Initiative*

1 - Extremely poor

5 - Exceptional

Social Adaptability*

1 - Extremely poor

5 - Exceptional

Concern for Others*

1 - Extremely poor

5 - Exceptional

Ability to Follow*

1 - Extremely poor

5 - Exceptional

Leadership Abilities*

1 - Extremely poor

5 - Exceptional

Shows good Judgement / Discernment*

1 - Extremely poor

5 - Exceptional

Emotional Stability*

1 - Extremely poor

5 - Exceptional

Personal Appearance (Self-care)*

1 - Extremely poor

5 - Exceptional

Health*

1 - Extremely poor

5 - Exceptional

Willingness to Serve*

1 - Extremely poor

5 - Exceptional

Ability to Work With Others*

1 - Extremely poor

5 - Exceptional

Reliability*

1 - Extremely poor

5 - Exceptional

Cooperativeness*

1 - Extremely poor

5 - Exceptional

Flexibility*

1 - Extremely poor

5 - Exceptional

Disposition*

1 - Extremely poor

5 - Exceptional

Punctuality*

1 - Extremely poor

5 - Exceptional

Academic Capacity*

1 - Extremely poor

5 - Exceptional

Work Capacity*

1 - Extremely poor

5 - Exceptional

Financial Responsibility*

1 - Extremely poor

5 - Exceptional

Work Ethic*

1 - Extremely poor

5 - Exceptional

Ratings Comments:

Do you have any comments to add regarding these ratings?

Negative Behaviours?*

In your experience with the applicant, do they exhibit any of the following behaviours at times? Please check if yes:

Impatient

Domineering

Easily Embarrassed

Unable to Cope With Stress

Nervous/Tense

Intolerant

Addictive behaviour

Easily Offended

Easily Worried

Given to ''Moods''

Argumentative

Critical of Others

Discouraged

Anxious

Erratic in Attitudes

None of the Above

Other

Other Negative Behaviours*

Negative Behaviour Comments:

Do you have any comments to add regarding these behaviours?

Christian Experience:*

How would you describe the applicant's Christian Experience?

Mature

Genuine but Mild

Superficial

Contagious and Growing

Over Emotional

Non Existent

Other

Christian Experience Comments:

Do you have any comments to add regarding their Christian experience?

If you have any questions about or technical issues with this application then please email us at [email protected]

Do you support this application?

Do you support the applicant's decision to join YWAM Adelaide as a student or staff?

Yes

Please explain your "support" response:*

Please provide information regarding why you support, or do not support, the applicant's decision to join YWAM Adelaide as a student or staff.

Would you recommend the applicant?

Do you recommend the applicant to YWAM Adelaide?

Yes

Yes, but hesitantly

Please explain your "recommendation" response:*

Please provide information regarding why you recommend, or do not recommend, the applicant to YWAM Adelaide.

Applicant's general work skills, and abilities or disabilities:*

Please give a description of the applicant's general work skills, and abilities or disabilities:

Applicant's willingness to follow instructions:*

Please comment on the applicant's willingness to follow instructions:

Applicant's ability to get along with others:*

Please comment on the applicant's ability to get along with others:

Does the applicant display high moral standards?

Yes, Consistently

Most of the Time

Sometimes

Moral Standards Comments:

Do you have any comments to add regarding their Moral Standards?

Would you recommend that applicant works with minors?

The applicant may be working with children and youth. Do you recommend this person, with regard their actions, behaviour and moral decisions, to work with minors?

Yes

Other

Please explain your "work with minors" response:*

Does the applicant show prejudices?

Do you know of any prejudices the applicant has towards any people, group or culture?

Yes

Please explain your "prejudices" response:*

Applicant's local church involvement?*

What involvement does the applicant have with their local church?

Applicant's family background:*

Please comment on the applicant's family background:

Applicant's strengths and weaknesses?*

What would you say are the applicant's strengths and weaknesses?

Any Other Comments:*

Is there anything else that you think we should know in reference to this application?

Preferred Contact Method*

Your preferred contact method should we have further questions questions or if there is anything further you would like to discuss with us about the applicant:

Phone call

SMS

Other

Preferred Contact Number*

This could be your mobile or home phone number. Please include the international code. Eg: 61412345678

Email Address

If you have any questions about or technical issues with this application then please email us at [email protected]