Pastor S Reference Form Reference #1
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Pastor’s Reference Form Reference #1 Dear Applicant, Postal address: Street address Please give this reference form to your Church Pastor, Registrar Registrar after filling out your name and course that you are (School name/ Dept.) (School name/ Dept.) applying for and other relevant details as requested. Your C/o Asha Seva Kendra Asha Seva Kendra Pastor should then complete this reference form and send Post Box No.27 H – 58, Old Khandala Road it directly to us at the following address: If sending by Lonavala, Pin – 410 401 Lonavala (Pune Dist.) - 410401 ‘snail mail’ (post), please send it to: Maharashtra, INDIA MS, INDIA Our e-mail address is: [email protected]
Name of Applicant:
School applying for: School start date:
DEAR PASTOR, Greetings from U of N Pune@ Lonavala! U of N is ‘University of the Nations’, part of the interdenominational missions movement, Youth With A Mission (YWAM). The above applicant has applied for admission to the above mentioned school / course run at U of N Pune @ Lonavala. Hopefully he/she has had the chance to talk to you about why he/she wants to take this step in his/her life. In order for us to process his/her application, we need you to complete this reference form prayerfully as accurately and carefully as possible. We truly appreciate the time you give to send us your insights on the applicant. We will be giving serious consideration to your answers and comments. To help the applicant, please make additional comments, on a separate sheet, if necessary. Acceptance of the applicant is not based solely on references. This form is treated confidentially and will not be seen by the applicant. Thank you for your time in filling this out. - Registrar (U of N Pune@ Lonavala)
Your Name: Position / Title:
Telephone: Fax:
Church Name:
Church Address:
Email:
For how long have you known the applicant? Months Years How well do you know the applicant? (please circle) Very well / Well / Casually Yes/No If Yes, when and if No, please comment: Has the applicant received Jesus Christ as his/her Lord and Saviour and experienced a change of life? Reading - (None) 0 2 3 4 5 (Excellent) How well can the applicant communicate in Writing - (None) 0 2 3 4 5 (Excellent) English? (please circle) Speaking -(None) 0 2 3 4 5 (Excellent) Yes / No Please comment: Does this person become easily angry with others?
Tobacco - Yes / No Please comment: Is the applicant, now or has ever used the Alcohol - Yes / No following? (Circle) Drugs - Yes / No Is there a Christian leader or family member who Yes / No If yes, please comment: does not want the applicant to undergo this training program with U of N Pune @ Lonavala? Is the applicant active in the local church? Yes, very active / Somewhat active / Not active (Circle one)
Describe the applicant’s overall Christian service: Dedicated / Average / Casual (Circle one)
1 | P a g e Please comment briefly on the parents’ occupation, religion & social background: Yes / No Any comment? Does the applicant show proper RESPECT towards the opposite sex? Yes / No Any comment? Has the applicant suffered from any psychiatric or mental disorders? Yes / No Any comment? Do you feel the applicant currently needs counseling in any significant area?
How do you think U of N Pune @ Lonavala can aid the applicant’s personal spiritual development?
In your opinion, what is the applicant’s motive in applying for this U of N Course? Does the applicant have a long term call and commitment to ministry? What expectation do you have for the applicant from the school? Yes / No Any comment? Is your church willing to pray for the applicant, while participating in this course? Yes / No Any comment? Is your church willing to support the applicant financially while does training with the U of N?
For each characteristic listed below rate the applicant on the following basis: Excellent = 5 Good = 4 Average = 3 Below Average = 2 Poor = 1 Unknown (or) don’t know = U CHARACTERISTIC Your Rating COMMENTS, if any Initiative Concern for others Ability to follow Leadership Judgment / Decision making Emotional stability General health Personal grooming Understanding Ability to work hard Reliability Co-operation Flexibility Christian character Punctuality Financial responsibility
Would you recommend the Yes, without hesitation. applicant for acceptance by Yes, with some hesitation. (Please explain) : U of N Pune @ Lonavala? I have serious hesitation. (Please explain):
Your Signature: ______Date: ______/______/20______Would you like more information about the UofN Pune @ Lonavala? If so, please visit our website: www.uofnlonavala.org or www.ywam.org
2 | P a g e Thank you very much for your evaluation – we value your thoughts & suggestions. May God bless you!
3 | P a g e