Student Leader Reference Form
Choose one reference to complete this form. Please choose a reference that is not family members and over the age of 18.
Your Name:*
First Name Last Name
Email*
example@example.com
Phone Number
Area Code Phone Number
Students First & Last Name*
Relationship to Student:*
How long have you known him/her?*

Please check off the best answer:*

	Strongly disagree	Disagree	Agree with reservations	Strongly Agree
This student has a growing relationship with God
This student looks for opportunities to serve
This student is teachable
Humility is a characteristic of this students’ life
This student is a leader
This student has a consistent relationship with the God
This student is warm and welcoming to those he/she does not know
I whole-heartedly recommend this student to serve in a place of leadership
This student is unafraid to take a stand or share their faith

If you circled “Agree with reservations,” “Disagree,” or “Strongly Disagree” on any of the questions, please explain. Please feel free to add any other insights that you feel would be beneficial in giving us a more thorough grasp on this student, their walk with the Lord, and their heart to serve in this ministry.
By signing you declare that all information you have given here is truthful and accurate.
Signature
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Student Leader Reference Form