Staff Confidential DTS/Base Leader Reference

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A YWAM San Francisco staff applicant has named you as a reference. Will you kindly aid us in judging the applicant’s fitness for such service by supplying the information requested on this form? We suggest you answer only those questions about which you are fairly certain. We would appreciate your candid appraisal of the applicant. It will be kept strictly confidential.

Your Information

First Name

Last Name

Organization

Title

Address Line 1

Address Line 2

City

Country

State

Provinces

State/Province

Postal Code

Phone

Applicant's Information

First Name

Last Name

General Reference

How long have you known the applicant?

On a scale from 1 to 10. How well do you know the applicant? (1 being the lowest and 10 being the best)

In what situations have you worked with the applicant?

Has the applicant proven on any occasion to be unreliable, dishonest, or of questionable character?

YesNo

Due to the challenges that the applicant will be faced with in regard to living in San Francisco and being a part of a multicultural missionary base, adjustments may have to be made in all aspects of his/her life. Keeping this in mind, please rate the applicant as to his/her emotional maturity and stability:

Outstandingly mature. Has proven his/her ability to operate under stress and pressureMaintains balance and control under difficult circumstancesUsually well balancedSomewhat overemotionalDoubtful, experience has shown that the applicant might not be able to endure stressFrequently worried, anxious, nervous or tense

Share any comments about the applicants emotional stability

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