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Reference Is For
The Following Person |
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Reference Is For
(Please Use Full Name): |
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Reference
Information |
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Your First Name:** |
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Your Last Name:** |
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Current Address: |
No.
Street Name:
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City |
...Province/State:
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Postal/Zip Code: |
.... Country:
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Phone: |
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Fax: |
(
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Email:** |
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Your Relationship
To The Applicant |
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Organization: |
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Position: |
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How Long Have You Known
The Applicant: |
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In What Capacity /
Relationship: |
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How Recent Is Your
Contact: |
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Spiritual Life And
Church Involvement |
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To Your Knowledge, Has The Applicant
Received Jesus Christ As Lord And Saviour? |
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How Long Has The Applicant Been A
Believer? |
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What Evidence Have You Seen Of The
Applicant's Spiritual Maturity And Relationship With Christ? |
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Please Summarize The Applicant's Past
And Current Commitment And Involvement In Work Environment, Church And Or Para-Church
Ministries. |
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Strengths And
Weaknesses |
| What Strengths Would
The Applicant Bring To This Position (e.g. spiritual, skills, talents,
character, personality, leadership, etc)? |
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What Characteristics of the applicant do you feel need
further work or development? |
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| Describe Any Significant Problems The Applicant In
Experiencing, Or Concerns You Have About Their Beliefs, Attitudes Or
Morals. |
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| Please describe Any
Limitations You Are Aware Of That Might Restrict The Applicant's
Participation In This Program. |
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Relationships |
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Please Describe Any Area Of The Applicant's Home Or Family
Life That Would Help Our Understanding Of Him Or Her. |
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Would You Say That The Applicant's Friendships Have A
Positive Or Less Than Positive Influence On Him Or Her? Please
Explain. |
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Recommendation |
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Would You Recommend This Applicant To
The Dusty Feet Program? |
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Reasons / Comments
/ Reservations |
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COMMENTS /
QUESTIONS |
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