DTS Reference Form

Applicant's Name *

Your Full Name *

Your Address (Street) *

City

State/Province

ZIP / Postal Code

Country

Your Phone Number *

Your Email Address *

What is your relationship to the applicant? *

How well do you know the applicant? *

How long have you known the applicant? *

If you are the Pastor of the applicant, does he/she have your approval to join DTS this time?YesNo

Initiative (Please choose the following that describes the applicant) *

Social Adaptability *

Concern for Others *

Ability to Follow *

Leadership *

Judgment *

Emotional Stability *

Health *

Personal Appearance *

Self-discipline *

If you answer BELOW AVERAGE or INFERIOR any of the following above, please describe or explain.

Mental Ability (Please choose the following that describes the applicant) *Quick to comprehendAverageSlow

Industrious *Hard workerAverageLacks persistence

Reliability *Exceeds obligationAverageNeglects obligation

Cooperativeness *Works well with othersAverageAvoids group activities

Flexibility *Open to changeAverageUnyielding

Christian Character *Well-balancedAverageUnstable

Disposition *CheerfulAverageMoody

Financial Responsibility *Honors obligationAverageNeglects obligation

Please give your comment.

1. Is the applicant active in church work? In what ways? *

2. Does he/she display high moral standards? (i.e. with regards to honesty, integrity, and relationships) *

3. Is he/she prejudice against groups, races, or nationalities? *

4. With reference to his/her Christian service, do you consider the applicant to be: *Wholehearted, dedicatedAverageCasual

Explain your answer in number 4. *

5. In your consideration, which of the following that describe the applicant's Christian experience? *Mature/strongEnthusiasticGenuine/growingOver-emotionalWeak

Explain your answer in number 5. *

6. Please share what you know about the applicant's family background. *

7. Anything would you like to share about the applicant? *

8. Would you recommend the applicant for admission in YWAM Butuan? *YesWith some hesitationNo

Explain your answer in number 8. *

I consent (required) *I consent my data will be retained by YWAM Butuan.

I declare (required) *To the best of my knowledge, I declare that all information stated above is true and correct .