Referral and Reference Form

for Short Term Volunteer GoTeam Positions at On The Go

Applicant: _____________________________________________________________


The Applicant has chosen you as a reference and we would like you to give us your opinion regarding their fitness or ability to serve with our evangelistic mission ministry. This is confidential! Please send this back to On The Go. Thank you.

1. What is your relationship to the applicant (check all that apply)

(  ) Pastor        (  ) Youth Pastor        (  ) Co-Worker q Relative

(  ) Good Friend (  ) Casual Relationship  (  ) Very Little Contact     (  ) No Contact

2. How long have you know the applicant? ______

3. Why do you think the applicant wants to be a part of our ministry?

(  ) Supportive of all church activities (  ) Because it is exciting and new

(  ) Called to Missions or Evangelism (  ) Because everyone else is going

(  ) To have something to do          (  ) To escape reality

4. Which of the following describe the applicant (In your opinion)

(  ) Dedicated to the local church           (  ) Fun to be around       (  ) Moody

(  ) Adventuresome   (  ) Dedicated        (  ) Rebellious

(  ) Follower          (  ) Leader          (  ) Christian

(  ) Church leader     (  ) Critical          (  ) Everyone admires

(  ) Adaptable         (  )   Dependable    (  ) Mature

(  ) Spiritual          (  ) Athletic          (  ) Argumentative

(  ) Into Dating Heavy, Romantic           (  ) Self Centered          (  ) Driven

5. Comments relating to any of the items above: (Please detail on back or on separate sheet)

6. Use this code for the following questions! Circle: G=Good, A=Average, P=Poor, N=No basis to answer.

1. What is the Mental condition of the Applicant? G A P N

2. How doe the Applicant relate to Authority? G A P N

3. How does the Applicant's Peers relate to Him/Her? G A P N

4. How would you rate the Applicant's Leadership ability? G A P N

7. What part does the Applicant play at His/Her Local Church? __________________________________

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8. Does the Applicant have any Social/Moral habits that we should know about?

__________________________________________________________________________________________

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9. Do you have any reservations about or lack confidence in the applicants ability to minister on an evangelistic outreach team/ministry? (please explain) __________________________________________

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10. Mark the answer that closest represents your recommendation level for this applicant.

(  ) Has my highest recommendation

(  ) Has my recommendation based on limited knowledge

(  ) I do not recommend the applicant

(  ) I recommend with some reservations (explain on back)

Signature: __________________________ Name: ___________________________________________

Phone: _____________________________ Address: __________________________________________