EMT Applicant Reference Form

NOTE: PLEASE BE HONEST! This applicant is discerning whether participation in EMT (and perhaps a local outreach team) is the Lord’s desire for him or her this summer. Would you please help in this process by truthfully providing the following information? If you have questions, please call 717.627.1996 or email .

Applicant Name*
First Last
Name of Youth Leader/Senior Elder*
First Last
Relationship
How long have you known the applicant? On what level do you know him/her?*
Spiritual Maturity
Since you have known the applicant, have you seen growth in his/her relationship with the Lord? Please explain attitude and behavioral changes consistent with the Word of God.*
Is there anything else you would like to say about the applicant’s spiritual maturity? Does the applicant seek to obey God’s Word and the conviction of the Holy Spirit in his/her life?*
Emotional Maturity
Please indicate by entering a number (1-5) with 1 being the highest maturity score and 5 being the lowest
How the applicant expresses feelings, both good and bad.*
Please enter a number from 1 to 5.
How the applicant takes constructive criticism*
Please enter a number from 1 to 5.
How does he/she cooperate with others in a group/team setting?*
Please enter a number from 1 to 5.
Recommendation
Do you have any reservation that the applicant attends EMT?*
- Yes
- No
If yes, please explain:*
Comment on his/her strengths and weaknesses. Is there anything else you want to share about the applicant?
Date*
Date Format: MM slash DD slash YYYY
Signature*
Phone
This field is for validation purposes and should be left unchanged.

EMT Applicant Reference Form

EMT Applicant Reference Form

Relationship

Spiritual Maturity

Emotional Maturity

Recommendation