STAFF CONFIDENTIAL REFERENCE FORM

To be filled out by your PASTOR
The APPLICANT: Please complete the information below and give it to each of your referees.
Name of APPLICANT: ______________________________________________________
APPLICANT'S SIGNATURE: _____________________________ DATE: _____________
ADDRESS: ______________________________________________ CITY: ____________
SPECIFY SCHOOL APPLYING FOR: __________________________________________
MONTH and YEAR
The above applicant has applied for admission to a Youth With A Mission (YWAM) training
program.YWAM is an international, interdenominational Christian mission-oriented organisation.
Founded in 1960, it now has 552 centers in over 133 Nations on all six continents. Its purposes
include training, challenging and channeling Christians to fulfill Christ's command: "Go, therefore,
and make disciples of all nations". Mercy Ministries to the refugees of the world have become
an additional burden and reality. The University of the Nations is a training and logistics base
from which skilled workers are sent out. The DTS is the pre-requisite to the University of the
Nations Schools', which is run worldwide. In order to make an intelligent evaluation of the
applicant's fitness for admission to this training program, it would be appreciated if you could
supply the information requested here. Serious consideration will be given to your comments,
therefore we ask that you complete this form carefully.
Thank you for taking the time to help us in this way.

PLEASE CHECK THE FOLLOWING AND COMMENT WHERE NECESSARY.

1. How well do you know the applicant? Very well []; Well []; Casually [].
 
2. Are you aware of the applicant's intentions to work with us? Yes []; No.
 
3. Is the applicant faithful in attendance in the church? Yes []; No;
 
4. How long has he/she attended your church? [___] years [___] months.
 
5. Does the applicant have present responsibilities or commitments to the church?
If so please describe. ___________________________________________________
 
6. Has the applicant been faithful in fulfilling these responsibilities? Please comment. ______________________________________________________________________
 
7. Briefly describe how the applicant works with others. ________________________
______________________________________________________________________
 
8. Could you see the applicant contributing constructively to the mission? Yes []; No []
Please specify ____________________________________________________________
 
9. Can you give any information concerning the family background that would be helpful
for us to know. __________________________________________________________
 
10. Do you think that a commitment as a staff at this time would be helpful, or unwise
for the applicant? Please explain. ___________________________________________
11. Please circle what best describes the applicant
(1=Superior 2=Above Average 3=Average 4=Below Aaverage 5=Inferior)
Initiative: 1 2 3 4 5
Social adaptability: 1 2 3 4 5
Concern for others: 1 2 3 4 5
Ability to Follow: 1 2 3 4 5
Leadership: 1 2 3 4 5
Judgment/Decision Making: 1 2 3 4 5
Emotional stability: 1 2 3 4 5
Health: 1 2 3 4 5
Personal Appearance: 1 2 3 4 5
Additional Comments: _______________________________________________________
 
12. Please tick which answer best describes the Applicant:
Mental ability: Quick to Comprehend []; Average []; Slow [].
Industry: Hard Worker []; Average []; Lacks persistence [].
Reliability: Meets obligations []; Average []; Neglects obligations [].
Co-operative: Works well with others []; Average []; Avoids group activity [].
Flexibility: Open to change []; Average []; Unyielding [].
Christian Character: Well balanced []; Average []; Unstable[].
Disposition: Cheerful []; Average []; Passive [].
Punctuality: Punctual []; Average []; Often late [].
Financial responsibility: Honors obligations []; Average []; Neglectful [].
Additional Comments:________________________________________________________
 
13. Is the applicant active in church work? Yes []; No []
 
14. Does he/she display high moral standards? Yes []; No [] If no, please explain: __________________________________________________________________________
 
15. Is he/she prejudiced against groups, races or nationalities? Yes []; No []
If yes, Please explain: _________________________________________________________
 
16. With reference to his/her Christian service, do you consider the applicant to be?
Dedicated [] Average [] Casual [] Please explain: _____________________________________
17. Please tick which of the following would best describe the applicant's experience?
Mature []; Contagious []; Genuine & Growing []; Superficial []; Over-Emotional [];
Comments: _________________________________________________________________
 
18. Please comment on the applicant's family background (if known): __________________________________________________________________________
19. Is the applicant financially responsible? Yes []; No []

 

 

HOW IS YWAM FINANCED?
YWAM bases throughout the world are autonomous and responsible for their own legal and
financial affairs. There is no international headquarters supplying funds, and YWAM is not
financed by a specific denomination. Expenses are covered by gifts; by income from the various
YWAM training courses; and by the contributions of individual staff members towards the cost
of their own boarding and lodging. These contributions vary from one base or team to another.
It is often said that YWAMers live by FAITH and FELLOWSHIP. Some receive regular
support from family, friends and/or churches that see them as missionaries. Others have no
regular support and depend on what the Lord sends them from day to day. Many give freely
within the movement to meet the needs of others.
 
1 . Will the church support the applicant financially and spiritually while working with
YWAM? Yes []; No [] Please add any other relevant remarks: ________________________
2. Would you recommend the applicant for acceptance into YWAM as a staff? Yes [];
Yes with some Hesitation []; No [], If no, please explain: _________________________________
3. I have known: _____________________________________________ for _______ years
and believe that he/she possesses the qualities indicated above.
TITLE: _____ NAME: ___________________________________________________________
ADDRESS: ____________________________________________________________________ ______________________________________________________________________________
TEL: __________________ FAX: __________________ EMAIL: _______________________
SIGNED: ___________________________________________ DATE: ___________________
Would you like to receive further information about YWAM? Yes []; No [].
Thank you for your assistance.