Reference Form

Thank you for taking the time to be a reference for a candidate for the Spread the Word Internship of the Church of God. The person in this position will be a representative of the North American Youth Ministry in the Church of God serving as an intern for Spread the Word. We want to ensure he/she will be a model messenger. Please complete the form below to send us your evaluation of this person's character and integrity. Please be frank and honest in your evaluation. Your responses will remain anonymous.

Question Title

1. Date

Today's Date:

Question Title

2. Name of individual you are giving a reference for:

Question Title

3. Your Information

Question Title

4. How long have you known this person?

Question Title

5. How do you know the applicant?

Question Title

6. Personal

  Poor Acceptable Good Excellent Don't Know
Appearance (neatness, grooming, physical features)
Emotional Stability (self-control, objectivity, sensitivity to others, mental health)
Attitudes (wholesome and positive attitude towards others; sincere and honest)
Social Skills (maintains cordial relations; cooperative, tactful, pleasant personality)
Family Life (happy and balanced home life with family members)
Knowledge (wide range, informed on the Bible; current events, studious)
Response Under Pressure (ability to manage conflict, accept criticism)

Question Title

7. Ministry

  Poor Acceptable Good Excellent Don't Know
Speaking Ability (Communication in thoughtful, scriptural, relevant, interesting manner)
Shepherding Ministry (Wisdom in counseling and meetings; caring of other's needs; nurturing)
Evangelism (Ability to live out the Love of Jesus )
Administrative Skills (Ability to plan, coordinate, expedite, lead democratically)
Staff Relationships (Ability to work supportively with others)
Visionary (Empowers others )

Question Title

8. Other

  Poor Acceptable Good Excellent Don't Know
Reputation (Held in high esteem by others)
Concern for others (Commitment to meeting spiritual and physical needs locally, nationally and worldwide)
Appropriate Balanced Personal Choices (Healthy boundaries with members of the opposite sex; realistic in goals and expectations of self and others)
Example (Models servant leadership and godly lifestyle)
Theological (Basic beliefs consistent with those held by the Church of God)

Question Title

9. Please list any obvious failures or unique successes in this person's life and/or ministry that would be helpful in evaluation.

Question Title

10. Does this person hold any theological belief inconsistent with Church of God teaching? If yes, please explain.

Question Title

11. In what ways is this person supportive of their local church? (be specific)

Question Title

12. What do you consider his/her greatest strength?

Question Title

13. What do you consider his/her greatest weakness?

Question Title

14. STW interns will represent Church of God youth ministry and generally will be doing their internship out of the country. Do you have any concerns regarding this person serving as a STW intern? If so, please explain.

T