Reference form | Confidential Step 1 of 3 33% What is your name?* First Last What is the name of the person whom you are referring?* First Last For what school is he/she applying for?* Please assess the applicant on the characteristics listed below according to the following evaluation system: 1 = Usually 2 = Often 3 = Sometimes 4 = RarelyHealthyWell-groomedAccepts challengesFlexibleArticulateFinancially ResponsibleConcern for othersConsistentEnthusiasticLoyalSocially AdaptableDiplomaticLeaderWilling to serveTeam OrientedPatientInitiatorWorrierSystematicReliableLonerOptimisticWorkerDisruptiveCommittedCo-operativeAggressor Please comment briefly on the quality and extent of the applicant's Christian service.*Please comment briefly on the applicant's ability to relate to others and to be a part of a team*Please comment briefly on the applicant's ability to handle conflict in relationships*Please comment briefly on the applicant's ability to live and work cross-culturally*Please comment briefly on the applicant's ability to relate to authority*The applicant will be living and working closely with others for an extended period of time. Have there been problems in the past that might cause difficulties that could compromise their Christian sexual morality or relationship with others?*In your consideration, which of the following would best describe his/her Christian walk?MatureContagiousGenuine and GrowingOver-emotionalSuperficialNon-existentOverall, what do you consider to be the applicant's strong points? (Include special abilities)Do you know the applicant's family?YesNoIf so, is there anything you think would be helpful for us to know about them?In your opinion, does the applicant have a call to missions on their life?In which area of YWAM do you see the applicant involved - Training, Mercy Ministries or Evangelism?If you have reservations about or are opposed to his/her participation, would you care to explain why?On a scale of 1-10, how well do you feel you know the applicant? (1=very little; 10=intimately)Please enter a value between 1 and 10.What is your relationship with the applicant? (e.g. youth group/home group/leader/friend)Have we overlooked anything that you consider relevant to this application?Your Personal InformationAddress Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe PhoneEmail* Enter Email Confirm Email Could we contact you if we require any further information?YesNoNameThis field is for validation purposes and should be left unchanged.