InnerCHANGE Reference Form

Instructions:

Thank you so much for taking the time to complete this reference regarding an apprenticeship with InnerCHANGE. If you want to find out more about us, you can visit our website at www.innerchange.org.

We value your honest feedback regarding this applicant as it will help us evaluate his/her capacity to serve on one of our teams as well as place him/her in a location that will be the best possible fit. Concrete examples are always helpful. All your responses are confidential and will not be shared with the applicant without your approval. If we have follow up questions, we may get in touch with you by phone or email.

Please return this reference form within one week. If you have any questions or there are problems with the form, please do not hesitate to contact a member of the Mobilization Team at ic.mobilization@innerchange.org.

Thank you!

About You

Your Name

Your Phone Number

Your Email

	Applicant Name	Years known	Relationship
About the Applicant		(answer with a number please)	What is your relationship to the applicant?

Applicant Evaluation

Please describe three strengths of the applicant that you think make them ready and able to serve with InnerCHANGE.

What do you respect or value most highly regarding this candidate as a person (a particular quality or character trait, a work that they do, etc)

Please describe any weaknesses that you think may influence the applicant's work with InnerCHANGE.

How would you describe the applicant's spiritual life?

Describe how you have witnessed the applicant working in a team situation, including under the direction of a team leader. What gifts and liabilities do they bring to a team setting?

How do you hope the applicant will grow because of their participation in an apprenticeship with InnerCHANGE?

Evaluation continued

Please respond to one of the following three questions.

Describe an interpersonal conflict the candidate had and how he/she responded.

Describe a family or personal crisis the applicant has had and how they responded.

Describe a difficulty that the candidate overcame.

In the following section, please select the answer that MOST OFTEN characterizes the candidate. Your additional specific comments, though not required, are very helpful.

Spiritual Life

Highly consistent in spiritual disciplines and obedience; unusual spiritual intimacy. Attempts consistency in several spiritual disciplines, growing in fruit of the Spirit. Works at spiritual disciplines, exhibits fruit of Spirit and personal holiness. Struggles with spiritual disciplines and evidences sporadic spiritual growth. No spiritual disciplines, intimacy with God, or life of obedience. Not able to evaluate.

Comments

Fundraising & Support Development

Would aggressively and graciously enjoy raising money and meets with overwhelmingly positive responses. Articulate in making needs known. People respond positively with confidence in his/her ministry. Willing to make needs known with mixed results. Can live by faith. Reluctant to make needs known or ask for money; not comfortable living on support. Refuses to discuss financial needs. Will not do well living on support. Not able to evaluate.

Comments

Character Qualities

Exhibits unquestionable character in public/private life. Humble, dependable and has keen sense of justice. Solid character, evidences patience, faithfulness. Earns a high degree of trust. Good judgment and demonstrates a servant attitude in most situations. Prone to poor judgment. Struggles with perseverance and has need for attention. Undependable, private life contradicts public life. Self-promoting, not easily trusted. Not able to evaluate.

Comments

Social and Physical

Unusually winsome, contagious. Commands respect by all. Exudes quality in manner and appearance. Socially adept. Dresses appropriately and has good social skills. Occasionally socially inappropriate in behavior or appearance. Socially inept. Poor inter-personal skills, can be repulsive to others. Not able to evaluate.

Comments

Intellectual

Brilliant, inquisitive mind, unusually creative, relevant, and pragmatic in the use of knowledge. Very intelligent and perpetual learner, embraces change. Good conceptual thinker. Desires to learn. Is able to understand and grasp new ideas. Slow to process and adapt to change. Struggles with new ideas or the unfamiliar. Reluctant to learn. Resistant to new ideas. Not able to evaluate.

Comments

Emotional Maturity

Deals very well with high levels of stress. Excellent self-image/sense of humor. Exceptional capacity for bearing others' burdens. Copes well with high level of stress. Good self-image. Effectively bears burdens of others. Good emotional balance, knows self well. Can bear some emotional burdens of others. Prone to stressing out. Must work to maintain emotional stability. Has little capacity to emotionally support others. Emotionally needy. Poor self-image. Incapable of constructive relationships. Not able to evaluate.

Comments

Theology & Ecclesiology

Exceptional grasp of scripture theology. Uses the Word with power. Understands/ appreciates Kingdom diversity. Handles scripture with skill balance. Graciously tolerant of theological diversity. Grounded in the Word. Can use it in ministry. Can work with others who hold differing convictions. Needs better grasp/depth in Word and how to use it in ministry. Prone to theological partisanship. Weak in knowledge and application of the Word. Theologically naive or narrow. Not able to evaluate.

Comments

Leadership Skills

Strongly goal oriented with high degree of charisma. Easily motivates and empowers others. Is currently leading followers of Jesus. Highly disciplined lifestyle. Well-managed life. Knows where he/she is going. Motivates others to follow. Good delegation skills. Makes good use of time. Can lead others to meet common goals. Attempts to lead with mixed results. May hesitate to delegate. Reluctant to lead. Tends to be unsure about direction in life. Tends to be undisciplined; wastes time. Not able to evaluate.

Comments

Mentoring & Discipleship Skills

Committed and highly successful in connecting people deeply with Christ, who then disciple others. Very competent in leading small groups. Regularly connects people with Christ and disciples others with good success. Skilled in small group leadership. Shares Christ and disciples others with moderate success. Has good small group leadership experience. Attempts at evangelism and discipleship are infrequent and/ or ineffective. Little small group experience. Has not led someone to Christ or discipled others more deeply into the faith. No small group experience. Not able to evaluate.

Comments

Entrepreneur Skills

Strong risk taker, very flexible, can live with great ambiguity. Highly sacrificial lifestyle. Self-starter, enjoys challenge, is flexible, and puts mission objectives over personal security and comfort. Willing to risk and make personal sacrifices if needed. Can pull up roots and adapt to change. Struggles with ambiguity and is reluctant to risk. Needs roots and security. Fears risk, strongly needs security and closure. Can be inflexible. Not able to evaluate.

Comments

Team Functions

Exceptionally teachable, indispensable asset to any team. Allows little unresolved conflict in relationships. Rarely has problems with authority. Teachable, good team player, submissive to spiritual authority, works to resolve interpersonal conflicts. Follows leadership. Works well on a team. Knows how to resolve conflict. Struggles with being teachable and authority figures. Has difficulties resolving conflict. Tends to cause conflict on a team, un-teachable. Does not respond to authority. Not able to evaluate.

Comments

Your Recommendation

What is your overall evaluation of the applicant to serve with InnerCHANGE at this time?

Excellent ProspectGood prospect, but I have some reservations (please explain below)Unsuited at this time (please explain below)

Comments:

How confident are you in your ratings?

I have worked with and know him/her exceptionally well. I know him/her well having observed him on many occasions. I know this person reasonably well. I am unsure, having observed him/her on only a few occasions. I really do not know this person well at all.

Comments:

Please write any additional thoughts you may have concerning this individual's potential to serve on a team in ministry with InnerCHANGE. And thank you for taking the time to complete this reference!

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