Reference:

Applicant:

Status:
Completed Date:

Relationship to Applicant:
Relationship Length:
Relationship Depth:

Positive Traits:

Problem Trait #1:
Degree of Prob. Trait #1:

Problem Trait #2:
Degree of Prob. Trait #2:

Marriage Relationship:
Children Relationship(s):

Degree of expected ministry success:

Achievement Score:
Achievement Notes:
Teamwork Score:
Teamwork Notes:
Motivation Score:
Motivation Notes:
Sensitivity Score:
Sensitivity Notes:
Financial Score:
Financial Notes:
Spiritual Score:
Spiritural Notes:
Responsibility Score:
Responsibility Notes:
Authority Score:
Authority Notes:
Stresses Score:
Stresses Notes:
Flexibility Score:
Flexibility Notes:
Social Score:
Social Notes:
Judgment Score:
Judgment Notes:
Acceptance Score:
Acceptance Notes:
Humor Score:
Humor Notes:
Hinderences:
Child Protection:
Moral Weaknesses:
Consistent?
Summary:

Secondary Name 1:
Address 1-1:
Address 2-2:
City 1:
State 1:
Zip 1:
Email 1:

Secondary Name 2:
Address 2-1:
Address 2-2:
City 2:
State 2:
Zip 2:
Email 2:

Secondary Name 3:
Address 3-1:
Address 3-2:
City 3:
State 3:
Zip 3:
Email 3:

Reference First Name:
Reference Last Name:

Reference Address 1:
Reference Address 2:
Reference City:
Reference State:
Reference Zip:
Reference Day Phone:
Reference Evening Phone:
Reference Cell Phone:
Best Time to Call:
Reference Signature: