CMIT Program Applicant Reference

Applicant's Name*

First Last

The person listed above is applying to offer a nationally approved Campus Missionary-In-Training internship within his/her local Chi Alpha Campus Ministry. Please provide your opinions of this person offering a year-long internship. This reference will be kept confidential.

Your Name*

First Last

Your Position/Title*

Your Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Your Phone Number*

Your Email*

How do you know the applicant?*

How long have you known the applicant?*

How would you rate the applicant in the following qualities using the following key to evaluate. Please comment to support your response.
1 = No Observation
2 = Below Average
3 = Average
4 = Very Good
5 = Exceptional

Analytical ability, good judgment, thinks strategically*

Comment on the applicant's analytical ability, good judgment, and strategically thinking.*

Willing to make decisions*

Comment on the applicant's willingness to make decisions.*

Self-confident, self-assured*

Comment on the applicant's self-confidence and self-assurance.*

Integrity in word and deed*

Comment on the applicant's integrity in word and deed.*

Honest, truthful, non-deceitful*

Comment on the applicant's honesty, truthfulness, and non-deceitfulness.*

Open with peers and overseers*

Comment on the applicant's openness with peers and overseers*

Verbal communication skills*

Comment on the applicant's verbal communication skills.*

Work habits, prompt, thorough*

Comment on the applicant's work habits, promptness, and thoroughness.*

Emotional stability*

Comment on the applicant's emotional stability.*

Desires to lead*

Comment on the applicant's desire to lead.*

Willing to assume responsibility*

Comment on the applicant's willingness to assume responsibility.*

Ability to get along with others*

Comment on the applicant's ability to get along with others.*

Attitude towards authority*

Comment on the applicant's attitude towards authority.*

Gains cooperation from others*

Comment on the applicant's gains in cooperation from others.*

Sets challenging personal goals*

Comment on the applicant's personal goals.*

Takes initiative, is proactive*

Comment on the applicant's initiative and proactiveness.*

What is your assessment of the applicant’s fitness and suitability for working with a religious organization? Please state your estimation of the applicant’s character, capacity and motivation for vocational ministry.*

Do you have any reservations regarding the applicant’s fitness and suitability for working with a religious organization?*

Recommendation*

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CMIT Program Reference Form

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