Staff Reference Form Name of Applicant* Relation to Applicant* How well do you know the applicant?* very well well acquaintance casually How long have you known the applicant?* Please rate, according to what you have observed, the applicant’s effectiveness in the following areas:Communication* Excellent Good Fair Poor Not Observed Organization* Excellent Good Fair Poor Not Observed Emotional Stability* Excellent Good Fair Poor Not Observed Ability to Follow* Excellent Good Fair Poor Not Observed Working with Others* Excellent Good Fair Poor Not Observed Stewardship* Excellent Good Fair Poor Not Observed Co-operation* Excellent Good Fair Poor Not Observed Self-discipline* Excellent Good Fair Poor Not Observed In which of the above-mentioned areas would you say the applicant is especially gifted?* Does he/she display high moral standards?* Yes No If not, please explain: How does the applicant usually react in trying situations?* Withdraws Gets discouraged Gets angry Meets constructively Leadership QualitiesPositive* Weak Developing Average Mature Strong Ability to motivate others* Weak Developing Average Mature Strong Respects convictions of others* Weak Developing Average Mature Strong Self-confidence* Weak Developing Average Mature Strong Able to deal with inter-personal problems* Weak Developing Average Mature Strong Decision-making ability* Weak Developing Average Mature Strong Gets along with everyone* Weak Developing Average Mature Strong Teachable attitude* Weak Developing Average Mature Strong Social poise* Weak Developing Average Mature Strong Able to receive criticism* Weak Developing Average Mature Strong Emotional stability* Weak Developing Average Mature Strong Communication skills* Weak Developing Average Mature Strong Please rate the applicant in each of the following categories:Physical Condition* Limited Normal Healthy Personal Appearance* Tolerable Normal Great Intelligence* Slow Average Alert Teamwork* Independant Average Cooperative Social Adaptability* Shy Friendly Outgoing Emotional Resilience* Very sensitive Even keel Strong Industrious* Hard worker Average Not really Reliability* Always Average Somewhat Flexibility* Open Average Tense Disposition* Cheerful Passive Moody Punctuality* Punctual Average Often Late Financial* Honorable Normal Irresponsible For mentoring purposes, would you please check words or descriptions which may pertain to the applicant: easily easily embarrassed, offended, or discouraged frequently worried, anxious, nervous or tense prejudice toward groups, races or nationalities impatient intolerant moody argumentative exaggerates “gives in” to peer pressure easily persuaded given to exclusive & absorbing infatuations lacking in humour, unable to take a joke unable to cope with stress erratic in actions domineering critical of others “cocky” Does the applicant respond well to authority?* Yes No If no, please explain Is the applicant dependable and trustworthy with responsibility given to him/her?* Yes No If no, please explain Has the applicant been an asset to your church/ministry/life?* Yes No If no, please explain Has the applicant proven on any occasion to be dishonest or of questionable character?* Yes No If no, please explain Emotional Stability*Due to the cultural and environmental context of YWAM, adjustments may have to be made. Keeping in mind the challenge of unusual demands, please rate the applicant as to his/her maturity & stability: Mature. Has proven ability to operate under stress and pressure. More mature and emotionally stable than average. Possesses adequate emotional stability. Doubtful. Experience has shown that the applicant might not be able to endure stress. Frequent signs of inability to cope with stress such as rage or withdrawal, is erratic in attitude and action or has demonstrated emotional instability in other ways. Would you please make any comments regarding the applicant which you feel could be helpful:Please feel free to make any comments that you feel would benefit us as we prayerfully consider the above application.Would you recommend the applicant for a Staff Position at YWAM Honolulu?* Unsuited At this time, he/she is unsuited Good prospect, but I have some reservations Average Prospect Great Prospect * I declare that the contents of this confidential reference are correct to the best of my knowledge. 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