2017 AIL Reference Form

Pastor or Youth Leader Reference Form

Your student is applying for a leadership training experience with the Central Conference of the Evangelical Covenant Church. Please respond to the following questions and return to Covenant Point Bible Camp as soon as possible.

Completed applications must be postmarked by Wednesday, March 15th, 2017, and no application will be considered without the required reference form.

Question Title

* Applicant Name

Question Title

* Please give us your information:

Name

Position

Address

Phone

Email Address

Question Title

* In what capacity and how long have you known the applicant?

Question Title

* Please share your knowledge of this applicant.

	Weak 1	2	3	4	5 Strong
Teachable	Teachable Weak 1	Teachable 2	Teachable 3	Teachable 4	Teachable 5 Strong
Considerate to Peers	Considerate to Peers Weak 1	Considerate to Peers 2	Considerate to Peers 3	Considerate to Peers 4	Considerate to Peers 5 Strong
Leadership Ability	Leadership Ability Weak 1	Leadership Ability 2	Leadership Ability 3	Leadership Ability 4	Leadership Ability 5 Strong
Handles Responsibility	Handles Responsibility Weak 1	Handles Responsibility 2	Handles Responsibility 3	Handles Responsibility 4	Handles Responsibility 5 Strong
Works Well With Others	Works Well With Others Weak 1	Works Well With Others 2	Works Well With Others 3	Works Well With Others 4	Works Well With Others 5 Strong
Responds to Authority	Responds to Authority Weak 1	Responds to Authority 2	Responds to Authority 3	Responds to Authority 4	Responds to Authority 5 Strong
Expresses Self Well	Expresses Self Well Weak 1	Expresses Self Well 2	Expresses Self Well 3	Expresses Self Well 4	Expresses Self Well 5 Strong
Considerate of Adults	Considerate of Adults Weak 1	Considerate of Adults 2	Considerate of Adults 3	Considerate of Adults 4	Considerate of Adults 5 Strong
Leads a Consistent Christian Lifestyle	Leads a Consistent Christian Lifestyle Weak 1	Leads a Consistent Christian Lifestyle 2	Leads a Consistent Christian Lifestyle 3	Leads a Consistent Christian Lifestyle 4	Leads a Consistent Christian Lifestyle 5 Strong

Other (please specify)

Question Title

* Recommendation

I Recommend this Applicant for the Adventures in Leadership Camp

I Recommend this Applicant with Reservation. Please Explain

Question Title

* Applicant Name

Question Title

* Please give us your information:

Question Title

* In what capacity and how long have you known the applicant?

Question Title

* Please share your knowledge of this applicant.

Question Title

* Recommendation

Question Title

* If you have reservations please explain: