Expeditions Unlimited
Confidential Reference
Reference For:
Name of Applicant:
Address of Applicant:
Position Desired:
Expeditions Unlimited is a nondenominational ministry reaching out primarily to youth.
The above applicant desires to serve Christ through our ministry. Would you please
answer the following questions to the best of your ability from your knowledge of this
person? Your help in evaluating the fitness of this person would be greatly appreciated.
THANK YOU! When finished please mail the form in the envelope provided to:
Expeditions Unlimited
E11844 County Rd. DL
Baraboo, WI 53913
(608) 434-8677
1. How long have you known the applicant?
2. In what capacity?
3. Do you know if the applicant is a Christian and for how long have they been one?
4. Does the applicant appear to be growing in their relationship with Christ?
If so, what evidence do you see that would display this?
5. Does the applicant take an active interest in Christian work?
service?
What type of
6. Please circle what best describes the applicant’s leadership ability:
Makes no effort to lead
Tries but lacks ability
Outstanding leader
Average
Has good promise
Good ability
7. Please circle what best describes the applicant’s emotional temperament:
Over responds emotionally
Tends to be moody
Sometimes well balanced
Balanced and controlled most of the time
Well balanced
8. Please circle what best describes the applicants ability to form, execute, and follow
through on plans:
Needs constant supervision
Begins but does not finish
Meets the average expectations
Does over and above what is assigned
Superior follow through without supervision
9. What describes the applicant’s personality:
Sparkling
Quiet
Earnest
Shy and withdrawn
Happy-go-lucky
Contagiously Happy
10. Circle how you would consider the applicant respected by others:
Avoided
Tolerated
Liked
Well Liked
Sought by others
11. Circle how you see the applicant’s spiritual life in daily living:
Fully committed to the Lord
Somewhat undecided
Babe in Christ
Uncertain in purpose
Fighting total commitment
Dead – no evidence
12. Please rate the applicant on the following scale:
(1) Superior, (2) Above average, (3) Average, (4) Weak
a.
Personal appearance
j.
Courtesy
b.
Tact
k.
Honesty and integrity
c.
Dependability
l.
Initial impression
d.
Judgement
m.
Punctuality
e.
Attitude toward authority
n.
Friendliness
f.
Ability to make friends
o.
Attitude toward the opposite sex
g.
Ability to work with others p.
Attitude toward hard work
h.
Sense of humor
q. ________Initiative
i. __________ Servant attitude
r.
Efficiency in work
13. Are there any eccentricities, practices or personal habits which might cause
friction or reduce effectiveness of the applicant and if so please explain them.
14. Are there any conditions that might affect their suitability for work in relation to
home or family background?
15. Have you ever known of his/her leading a person to Christ?
16. Do you recommend the applicant as a member of our staff? Why or why not?
17. Would you want your children to be placed under the direct charge and influence
of this person for a good percentage of each day?
Explain
18. Is there anything else that would be helpful in our decision to hire this person?
19. Your name:
Address:
Signature:
Position:
Date:
Phone: