DURANGO CHRISTIAN CHURCH
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Internship Reference
Intern Reference
*
Indicates required field
Name Of Applicant
*
First
Last
Name Of Reference
*
First
Last
Relationship To Applicant
*
Number of years known
*
Reference Email
*
Reference Phone Number
*
Observations & Applicant Attributes
Please answer the following questions with as much candor as possible. An answer that might be perceived as negative will not necessarily prevent the applicant form being accepted, but may be useful to the team leader when approaching certain issues.
What have you observed to the this applicant's greatest strengths?
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What have you observed as his/her greatest weakness?
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How does this applicant perform in a team setting?
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Do you have any reservations about the applicant's ability to work appropriately with children or students under 18? If yes, please explain.
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Which of the following words would you use to describe the applicant? Check all that apply.
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Self-starter
Picky
Responsible
Creative
Prompt
Argumentative
Relational
Flexible
Shy
Calm
Productive
Sloppy
Discerning
Respects authority
Supportive
Easygoing
Leader
Artistic
Complainer
Worker
Compassionate
Tactful
Stable
Rigid
Energetic
Friendly
Lazy
Cheerful
Congenial
Honest
Follower
Outgoing
Emotional
Patient
Team Player
Applicant Personality/Character Traits
Spiritual Life
*
Choose one
No interest in spiritual growth
Evidence of some spiritual growth
Average
Continual growth in a positive direction
Consistent and mature spirituality
Unknown
Purposefulness
*
Choose One
Aimless, no evident goals
Vacillating in purpose
Average
Consistent movement toward goals
Strives to realize well-formed goals
Unknown
Initiative
*
Choose One
Requires constant oversight
Succeeds only when directed
Average occasional initiative
Shows good initiative
Actively created and self motivated
Unknown
Industry
*
Choose One
Needs constant prodding
Need occasional prodding
Performs assigned tasks
Goes beyond what is required
Seeks additional work
Unknown
Influence with others
*
Choose One
Negative influence
Neutral
Normally good
Consistently good influence
Positive challenge
Unknown
Acceptance by others
*
Choose One
Avoided by others
Tolerated by others
Liked by others
Well-liked by others
Sought after by others
Unknown
Responsibility
*
Choose One
Consistently irresponsible
Occasionally irresponsible
Usually reliable
Conscientious and reliable
Capable of much responsibility
Unknown
Leadership
*
Choose One
Always a follower
Tries, but few will follow
Assumes leadership when needful
Takes leadership initiative
Natural leadership which draws followers
Unknown
Emotional Stability
*
Choose One
Overly emotional or apathetic
Occasionally unbalanced
Usually well-balanced
Expresses appropriate emotions
Expresses self and empathizes appropriately
Unknown
Personal care and appearance
*
Choose One
Very careless
Needs some improvement
Usually appropriate in self care
Takes good care of self
Takes exceptional care of self
Unknown
Dealing with unexpected changes/circumstances
*
Choose One
Rigid and/or exudes anxiety
Somewhat flexible, stresses easily
Looks to others for how to respond
Remains flexible and /or calm
Exudes confidence, remains flexible and/or calm
Unknown
I understand that by submitting this reference I certify that this form has been filled out truthfully and accurately to the best of my knowledge.
Submit
Explore
About
Worship Services
Resources
Messages
>
Soul Survival
Works
Love Reigns
Freedom
The Power Of Focus
Not Just A Story
Life's Healing Choices
Encouragement
Rooted & Grounded
Better Together
Church Directory
Communities
Celebrate Recovery
Online Giving
Contact Us