Jems Short-Term Missions Program

2016 China Summer ProjectREFERENCE FORMName of Applicant: Instructions to the Applicant:1. Please fill in your name on the line above and on the attached pages.2. Sign the optional waiver statement below before giving this form to your recommender:I acknowledge that this confidential reference is being submitted for the PESi 2016 China Summer Project with the understanding that its contents will not be shared with me. I hereby waive my right to see the confidential statements submitted on this form.Sincerely submitted by: Date: Applicant’s Signature (m/d/yyyy)3. Please ask your recommender to fill out the form and then send a copy to both of the following e-mails: a. [email protected] b. [email protected]Instructions to the Recommender:Recommender Name: Title: Phone: ( ) - Work: ( ) - ext. E-mail: Thank you for taking time to complete this Reference Form. The above named has applied for acceptance into the above program. The program will be a strenuous, cross-cultural experience and will most certainly stretch the applicant’s capabilities. We desire that you express as frankly and accurately as possible your opinion regarding the suitability of this candidate for cross- cultural ministry.You may also choose to complete this application by printing out and mailing. Please enclose the completed form in the envelope provided and return it to JEMS/AACF. Do not return it to the applicant. Thank you again for enabling us to make a wise decision.THE REFERENCE:How long have you known the applicant and in what capacity? Months/years: Capacity: 1 2016 China Summer ProjectREFERENCE FORMName of Applicant: Please click and mark an “X” along the scale from 0 to 10 where you feel the applicant is best described. If you feel you have inadequate information to form a fair judgment on a particular quality, please note “n/a”. A score lower than “4” should be accompanied by an explanation in the “comments” field at the end of each section.SAMPLE: X ……………………………………………………………………………………………………………… 0 5 101. Personal faith in Jesus ChristSpiritual Maturity Evaluate the applicant’s Christian faith experience……………………………………………………………………………………………………………… 0 5 10 Immature Average Growing Good Spiritual InsightChurch Involvement Evaluate the applicant’s relationship with the local church……………………………………………………………………………………………………………… 0 5 10 Infrequent Attends Only Active Participant Deeply InvolvedChristian Witness Evaluate the applicant’s expression of Christian faith in speech and conduct in daily living. ……………………………………………………………………………………………………………… 0 5 10 No expression of faith in life Moderate expression Genuine and Clear TestimonyDoctrinal Positions (if score is under “7,” please explain)……………………………………………………………………………………………………………… 0 5 10 Serious doctrinal problems Overemphasized doctrinal areas Well-balanced & evangelicalComments/explanations for this section about expression of faith: 2. Socialization and relational skills2 2016 China Summer ProjectREFERENCE FORMCommunication Skills Evaluate the applicant’s ability to communicate ideas and plans.……………………………………………………………………………………………………………… 0 5 10 Non-communicative Reserved Communicates wellCooperation Evaluate the applicant’s ability to get along with other people……………………………………………………………………………………………………………… 0 5 10 Not cooperative Cooperative only under pressure Works well under others Works well with othersSociability How does the applicant’s personality affect others?……………………………………………………………………………………………………………… 0 5 10 Socially immature Makes friends easily Able to converse well with strangersPoise What is the applicant’s public demeanor?……………………………………………………………………………………………………………… 0 5 10 Lacking confidence Moderately self-confident Self-confidentComments/explanation of applicant’s socialization and relational skills: 3. Personal maturity: overall, mental, emotionalOverall Maturity “Handles oneself age appropriately (thinking, conduct, etc)”. ……………………………………………………………………………………………………………… 0 5 10 Behaves in a childish manner Growing MatureSelf-Identity Development Evaluate the applicant’s perception of him/herself……………………………………………………………………………………………………………… 0 5 10 Poor sense of self-worth Worth built on performance Healthy self imageJudgment Evaluate the applicant’s ability to make sound decisions……………………………………………………………………………………………………………… 0 5 103 2016 China Summer ProjectREFERENCE FORMIndecisive Common sense Wise and DiscerningEmotional Stability Response to challenges Consider how the applicant reacts in stressful situations……………………………………………………………………………………………………………… 0 5 10 Easily upset Well balanced Exceptionally stableEmotional Maturity/Intelligence:……………………………………………………………………………………………………………… 0 5 10 Emotionally unaware Emotionally aware of self & others Exceptionally matureComments/explanation of applicant’s expression of emotional stability and maturity: 4. Self discipline and personal responsibilityPersonal Reliability ……………………………………………………………………………………………………………… 0 5 10 Unable to follow-thru Cares for self adequately (daily tasks, schedule, assignments, etc)Responsibility How well does the applicant assume responsibility (including consequences)?……………………………………………………………………………………………………………… 0 5 10 Unable to assume responsibility Fairly Responsible Very ResponsiblePhysical Appearance Look and dress……………………………………………………………………………………………………………… 0 5 10 Careless Neglects fine details Neat, plain Well groomedComments/explanation of applicant’s expression of self-discipline and personal responsibility: 5. Intellectual Ability & Creativity4 2016 China Summer ProjectREFERENCE FORMCreative Instinct Finds creative outlets for ministry and/or adapts creatively to situations……………………………………………………………………………………………………………… 0 5 10 Sticks only to what is known Can offer some new ideas Very creativeSocial/Societal Awareness Evaluate the applicant’s insight into current events and issues……………………………………………………………………………………………………………… 0 5 10 Uninformed Knows popular trends/events only Well read and awareAcademic Achievement (If currently enrolled in school)……………………………………………………………………………………………………………… 0 5 10 Low Average ExceptionalComments/explanation of applicant’s expression of intellectual ability: 6. Expression of ministry attitudes and skillsLeadership Evaluate the applicant’s leadership qualities……………………………………………………………………………………………………………… 0 5 10 Prefers to be a follower Can lead, but not eager to lead Inspiring leaderAttitude Toward Authority……………………………………………………………………………………………………………… 0 5 10 Rebellious spirit Agreeable/Responsive to other ideas Open to direction/teachableWillingness To Serve…………………………………………………………………………………………………… 0 5 10 Reluctant Serves if prodded Eager to serveInitiative Does applicant know how to use gifts, talents and time for the task of ministry?……………………………………………………………………………………………………………… 0 5 10 Lacks understanding of gifts Understands and uses gifts5 2016 China Summer ProjectREFERENCE FORMCommitment Does the applicant follow through on commitments made?……………………………………………………………………………………………………………… 0 5 10 Negligent Follows throughCultural Sensitivity Does the applicant display the kind of flexibility to serve in a cross-cultural ministry setting?……………………………………………………………………………………………………………… 0 5 10 Inflexible, rigid Respects other cultures Willing & able to adaptComments/explanation of applicant’s ministry attitudes and skills: 7. Do you know anything in the applicant’s past or present that might hinder his/her ministr y? YES NO If your answer is yes, please explain: 8. In what areas do you feel the applicant needs further development?9. Please list any special assets this applicant has for cross-cultural ministry:Name of Applicant: RECOMMENDATION (check preference): I recommend for this ministry I recommend with enthusiasm for this ministry I recommend with reservations I do not recommend for this ministrySincerely submitted by: Date: Signature (m/d/yyyy)NAME: TITLE/POSITION/RELATIONSHIP: ADDRESS: 6 2016 China Summer ProjectREFERENCE FORMCITY: STATE: ZIP: PHONE: ( ) WORK/CELL PHONE: ( ) - ext. EMAIL: Thank you for your assistance. We deeply appreciate the time and effort you gave to complete this form. Please return this form either electronically to: [email protected] and [email protected] or you may mail it directly to the JEMS/AACF office in the envelope provided by the applicant. If no envelope is provided, please address a legal-sized envelope to: JEMS/AACF 948 East Second Street Los Angeles, CA 90012-4382 Attn: AACF China Summer Project, Reference FormThis reference form will become the property of JEMS/AACF and summary information will be provided to PESi. A copy will remain on file will remain on file and held in complete confidentiality. Any inquiries may be e-mailed above or by contacting the AACF office at (213) 613-0022 or (408) 887-1654.7

Jems Short-Term Missions Program

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