Pastor/Christian Leader’s Recommendation

Referee Details
Please enter the details of the person supplying the reference.
Name*
First Last
Name of church*
Denomination*
Leadership position*
Daytime phone number*
Evening phone number*
Email*
Enter Email Confirm Email
Country of citizenship*

Applicant Details
Please answer the following questions regarding the applicant.
Name of applicant*
First Last
How long have you known the applicant?*
In what capacity?*
How well do you know him/her? Please select one option.*
To your knowledge, has the applicant made a personal commitment to Jesus Christ?*
To what extent is the applicant engaged in the activites of your church? Please select one option.*
In what form of Christian service has the applicant participated regularly?*
What do you consider to be the applicant's strengths?*
Do you know of any weaknesses of which we should be aware?*
To your knowledge, does the applicant have any life-dominating/addictive issues (e.g. alcohol, tobacco, drug abuse, pornography) that they are currently struggling with?*
- Yes
- No
Please provide details*
Are you aware of any health issues (physical or mental) the applicant has of which we need to be aware?*
- Yes
- No
Please provide details*
Please describe any home factors which might affect the applicant's success at Eastgate.*

Applicant's Character
Please evaluate the applicant in regard to the following categories.

Under each heading: excellent; above average; average; below average; poor; not observed.
Response to authority*
Reliability/ dependability*
Maturity and ability to cope with life situations*
Emotional stability*
Motivation/ conscientiousness*
Clarity and coherence in the English language*
Attitude towards supervision*
Empathy and sensitivity to the needs of others*
Leadership*
Integrity and honesty*
Please add any further comments you may have which would help in our evaluation
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