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:
*
Rows
Strongly disagree
Disagree
Agree with reservations
Strongly Agree
This student has a growing relationship with God
1
2
3
4
This student looks for opportunities to serve
5
6
7
8
This student is teachable
9
10
11
12
Humility is a characteristic of this students’ life
13
14
15
16
This student is a leader
17
18
19
20
This student has a consistent relationship with the God
21
22
23
24
This student is warm and welcoming to those he/she does not know
25
26
27
28
I whole-heartedly recommend this student to serve in a place of leadership
29
30
31
32
This student is unafraid to take a stand or share their faith
33
34
35
36
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
Submit Reference
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