Long-Term Missionary Reference Form

Thank you for taking the time to fill out this reference form! Click “Submit” below to complete the reference.

Name of applicant(Required)

First Last

Your name(Required)

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Email(Required)

Church you attend(Required)

Questions

Please answer the following questions as honestly and accurately as possible. All information will remain confidential.

How long, how well, and under what circumstances have you known this person?(Required)

How do you feel about the applicant's relationship with his/her parents?(Required)

How do you feel about the applicant's relationship with his/her spouse?(Required)

How do you feel about the applicant's relationship with his/her children?(Required)

How do you feel about the applicant's relationships at work?(Required)

How do you feel about the applicant's relationship with people from his/her church?(Required)

What are the applicant's strengths?(Required)

What personality characteristics are you aware of that may reduce the applicant’s effectiveness (e.g., prejudice, rigidity, irresponsibility)?(Required)

Are there any factors in the applicant’s emotional, medical or social history that should be appraised before assignment?(Required)

Are there any aspects of the applicant’s Christian life and conduct that should be assessed before assignment?(Required)

What do you know about the applicant’s skills and competence in employment and ability to work with others?(Required)

What do you know about the applicant’s skills and competence in handling finances?(Required)

Do you recommend this person for cross-cultural mission service?(Required)

Use this space to write anything else you want to say about the applicant.

Signature(Required)