City Leadership School Reference Form (Ministry) Name of Applicant * Please include middle name with first name, if applicable. First Name Last Name Instructions The person above is applying for admission to City Leadership School. Your cooperation in completing this Personal Reference Form will be greatly appreciated. All information will be held in strict confidence. Academic Ability * Superior Above Average Average Below Average Inferior Initiative/Motivation * Superior Above Average Average Below Average Inferior Concern for Others * Superior Above Average Average Below Average Inferior Leadership Ability * Superior Above Average Average Below Average Inferior Social Adaptability * Superior Above Avewrage Average Below Average Inferior Personal Appearance * Superior Above Average Average Below Average Inferior Moral Standards * Superior Above Average Average Below Average Inferior Cooperation/Submission * Superior Above Average Average Below Average Inferior Reliability * Superior Above Average Average Below Average Inferior Response to Correction * Superior Above Average Average Below Average Inferior Do you believe the applicant is a born-again Chrisitan? * Yes No What evidence have you seen in his/her daily life? * In what form of Chrisitan work has the applicant engaged, and with what success? * Comment on the family and social background of the applicant * To your knowledge does the applicant participate in any of the following? Drug usage, Smoking, Drinking. * Have you had any occasion to question his/her moral character? * What is the general physical condition of the applicant? * Has he/she any mental or physical disabilities? * Is the applicant prompt in paying debts? * Has the applicant, in your judgment, fitness and aptitude for college? * Do you consider the applicant emotionally qualified for Christian service? * Would you unhesitatingly recommend the applicant’s acceptance to City Leadership School? * These observations are based on acquaintance over a period of how many years? * Other Comments Signature * I understand that by typing my name, I am digitally signing the document. First Name Last Name Date MM DD YYYY Position * Phone * (###) ### #### Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Thanks for submitting this form! Your information has been received, and we’ll be in touch, soon. In the meantime, feel free to browse our site and get to know more about our church.
