REFERENCE FORM

This Reference form is for an applicant to a Love Thy Neighborhood urban missions program.

This reference should be completed by someone who is not a family member, nor a friend or peer of the applicant.

If you have any questions please contact Anna Johnson: [email protected].

"*" indicates required fields

Applicant's Name*
Relationship to Applicant*
Your Name*
Spiritual Maturity*
Rate the applicant on the following qualities. 1 = Not at all 3 = Average among their peers 5 = Well above average among their peers If you haven't observed the applicant select N/A.
Emotional intelligence and resilience*
Rate the applicant on the following qualities. 1 = Not at all 3 = Average among their peers 5 = Well above average among their peers If you haven't observed the applicant select N/A.
Teachability*
Rate the applicant on the following qualities. 1 = Not at all 3 = Average among their peers 5 = Well above average among their peers If you haven't observed the applicant select N/A.
Relational skills*
Rate the applicant on the following qualities. 1 = Not at all 3 = Average among their peers 5 = Well above average among their peers If you haven't observed the applicant select N/A.
Professionalism and appropriate behavior*
Rate the applicant on the following qualities. 1 = Not at all 3 = Average among their peers 5 = Well above average among their peers If you haven't observed the applicant select N/A.
Knowledge, wisdom and learning comprehension*
Rate the applicant on the following qualities. 1 = Not at all 3 = Average among their peers 5 = Well above average among their peers If you haven't observed the applicant select N/A.
Stability and reliability*
Rate the applicant on the following qualities. 1 = Not at all 3 = Average among their peers 5 = Well above average among their peers If you haven't observed the applicant select N/A.
Independence*
Rate the applicant on the following qualities. 1 = Not at all 3 = Average among their peers 5 = Well above average among their peers If you haven't observed the applicant select N/A.
Our Team Members live with 6-8 young adults of the same gender and practice intentional Christian community. We ask them to be vulnerable with each other and work through conflict as a team. Generally, this is a relatively intense and formative experience for our team members. What are your concerns about this applicant living in this environment? In what ways do you think they will be a positive influence on their teammates?
Love Thy Neighborhood is a full-immersion program requiring flexibility. How does the applicant respond in adverse situations and changing conditions?
Do you have any reservations about recommending the applicant for Love Thy Neighborhood? If so, please explain.
Reference Submission*