Lakewood Missions - CONFIDENTAL CHARACTER REFERENCE FORM

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By the Applicant sending you the link to this online character reference they are releasing all references from liability for any damages that may result from furnishing evaluationsalf. of them and waive any right they may have to inspect references provided on their behalf.

Today's Date:

Missions Applicant Name:

Mission Team Destination:

The applicant above is required to have this reference form on file before they will be considered to serve as a member of a mission's team. As a screening procedure, we have asked him/her to supply us with a character reference other than a family member. Please complete this reference form and click "submit" which will then be sent to the Lakewood EFC Office at your earliest convenience. Thank you for your help.

Relationship to applicant:

How long have you known applicant?

In what context(s) have you observed the applicant?

On a scale from 1 – 5 (1 is “casual acquaintance” and 5 is “know very well”), how well do you know the applicant?

Please select one option.

1- Causal 2 3 4 5- Know very well

How does the applicant demonstrate a lifestyle committed to spiritual growth and integrity?

Comment on the applicant’s sensitivity to the needs, feelings, and attitudes of others.

Comment on applicant’s response to those in authority.

Comment on how the applicant interacts with other people and how you think they will do as a team member.

Do you know of any reason why the applicant should not work as a missionary?

Please select one option.

YES NO

If yes, please describe briefly.

Any weaknesses that the team leader should we be aware of?

What would you consider up to three of the applicant’s strengths that they would be bring to the team?

Any further comments that would help us in our consideration of this applicant?

I recommend this applicant

Please select one option.

Without Reservation With Reservation Not Able to Recommend Please Contact Me

Your Name:

Title:

Your Address:

Preferred Phone:

Preferred Email:

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Type Name Here As Your Signature:

Thank you for taking the time to provide us with helpful information regarding the applicant. Your feedback helps us prepare our various missions teams to be effective.

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Lakewood Missions - CONFIDENTAL CHARACTER REFERENCE FORM

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