Internship Reference Form

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? *

What have you observed as his/her greatest weakness? *

How does this applicant perform in a team setting? *

Do you have any reservations about the applicant's ability to work appropriately with children or students under 18? If yes, please explain. *

Which of the following words would you use to describe the applicant? Check all that apply. *

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 *

Purposefulness *

Initiative *

Industry *

Influence with others *

Acceptance by others *

Responsibility *

Leadership *

Emotional Stability *

Personal care and appearance *

Dealing with unexpected changes/circumstances *

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

Durango Christian Church • 255 E 11th Street • Durango, CO 81301 • (970) 247-1929

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