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Online Reference Form

    Online Reference Form

    You are being asked to fill out the reference form because the below-referenced applicant is applying to be a part of a mission team to Ukraine this summer to work with children in a camp setting.

    Important Information

    It is very important that team members selected are mature, adaptable, cooperative, a team player and can work well in a camp setting with children. Therefore, please try to be as honest as possible in your answers and responses.

    This reference form is private information and will not be shared with the applicant or other team members

    Thank you for your time and assistance.

    Reference Information

    * Denotes a Required Field

    *Applicant's Name:

    *Your Name:

    *Your Phone Number:

    *Your Email:

    Applicant Information

    *How many years have you known the applicant?

    *Please comment on the applicant's spiritual maturity:

    *Do you find this person already ministering or mentoring with children? Please explain:

    Please rank how the applicant interacts with children:

    Enjoys Children:

    NeverRarelySometimesMostlyAlways

    Redirects misbehavior in a positive way:

    NeverRarelySometimesMostlyAlways

    Disciplines harshly:

    NeverRarelySometimesMostlyAlways

    Disciplines positively:

    NeverRarelySometimesMostlyAlways

    Positive Tone:

    NeverRarelySometimesMostlyAlways

    Kind and Nurturing:

    NeverRarelySometimesMostlyAlways

    Energetic:

    NeverRarelySometimesMostlyAlways

    Can relate to kids on their level:

    NeverRarelySometimesMostlyAlways

    Please rank the applicant according to how they work with adults in the following areas:

    Team Player:

    NeverRarelySometimesMostlyAlways

    Adaptable:

    NeverRarelySometimesMostlyAlways

    Flexible:

    NeverRarelySometimesMostlyAlways

    Patient:

    NeverRarelySometimesMostlyAlways

    Honest:

    NeverRarelySometimesMostlyAlways

    Submits to Authority:

    NeverRarelySometimesMostlyAlways

    Positive Attitude:

    NeverRarelySometimesMostlyAlways

    I recommend this applicant for a team with By Example Youth Missions (BEYM) Youth Camp Program:

    Without hesitationWith reservationsI do not recommend this person

    *Please explain:

    Sign and Date

    *Your Digital Signature (type):

    *Today's Date:

    Are you a human? (anti-spambot measures)

    captcha

    Please review all information to make sure it is accurate before you hit "send"

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