Referral Form

Intro

Thank you for taking the time to fill out this reference for the Catholic youth retreat ministry of the REAP (Retreat Evangelization and Prayer) Team. We greatly value the information that we receive in these referrals and use them as an important source in determining whether or not someone should be accepted to our ministry. Because our volunteers serve in positions of spiritual leadership for young people, we accept only those applicants who show exemplary Christian character and who possess the skills necessary for successfully leading youth to Christ. Your honest and straightforward appraisal of the applicant's strengths and weaknesses will help to insure the fielding of the finest possible team members during the coming year. You may rest assured that everything in this form will be held as strictly confidential. Thank you!

Your Contact Info
Name*
First Last
Address*
Street Address City State ZIP Code
Primary Phone Number*
Phone Type*
Permission to contact you
- Check this box if we have permission to contact you at the number provided above

Applicant Info
Applicant Name*
Name of person applying for the REAP Team
First Last
Your relationship to the applicant*
How well would you say you know the applicant?*
Very Well Well Average Not Well Very Little
How does the applicant respond to authority?*
Very Well Well Average Poorly Very Poorly
Can the applicant take responsibility and demonstrate leadership?*
Strong Yes Yes Average No Strong No
Do you have any reason to question the applicant's moral character?*
Please explain*
Are you aware of any outstanding gifts or abilities in the applicant?
What degree of confidence would you give this applicant in the following?:*
Very High High Average Low Very Low
One-on-one ministry
Leadership position
Please comment

Using the scale below, please rate the applicant in the following:*

	Unknown	Poor	Below Average	Average	Above Average	Excellent
Self-discipline
Self-control
Self-confidence
Punctuality
Integrity
Adaptability
Respected by peers
Dependability
Common sense
Cooperation
Pleasing demeanor
Communication skills
Emotional stability
Well-rounded interests
Ability to work through conflicts
Spiritual maturity
Knowledge of Scripture
Ability to share faith

Signature

Thank you for taking the time to complete this reference letter for The REAP Team. We are very grateful for your assistance.
Signature*
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Intro

	Very High	High	Average	Low	Very Low
One-on-one ministry
Leadership position