PennDel Ministry Network | Friend Reference

We were referred to you as one acquainted with the applicant and competent to express a trustworthy opinion regarding the applicant's qualifications to fill the sacred trust of a minister of the Gospel. We value your judgement and appreciate your cooperation. Thank you for taking the time to complete this form as fully as possible and submitting it online to our office. Your reply will be regarded as confidential. (NOTE: The Authorization and Release forms signed by the applicant and spouse are on file in the district office. These guarantee that the applicant will not be aware of your responses.)

Applicant Name applying for Credentials*
First Last
1. How long have you known the applicant?
- 0 - 1 years
- 1 - 3 years
- 3 - 5 years
- 5 - 10+ years
2. Briefly explain how you met and what your relationship is now:
3. What are the applicant's greatest strengths?
4. Describe the areas in which the applicant needs to grow:
5. What are the God-given gifts you observe that make the applicant well suited for credentials?

6. Please rate the applicant in the following areas:

	Outstanding - 1	Very Good - 2	Average - 3	Fair - 4	Poor - 5	Don't know
Ability to relate to others
Self-Aware
Adaptable to change
Conflict resolution skills
Sets healthy boundaries
Dependability
Takes Initiative
Values diverse people
Manages stress
Keeps confidentiality
Able to prioritize and focus
Self-discipline

7. If applicable, how would you describe the applicant marriage?
- Not applicable
- Very Well-Adjusted
- Well-Adjusted
- Adjusted
- Strained
- Very Strained
- Don't know
8. If applicable, how would you describe the applicant's parenting skills?
- Not applicable
- Very Capable
- Capable
- Average
- Poor
- Very Poor
- Don't know
9. If applicable, how would you describe the applicant's children?
- Not applicable
- Very Well-Behaved
- Well-Behaved
- Average
- Poorly Behaved
- Very Poorly Behaved
- Don't know
10. Is there anything else about the applicant that we should consider?*
NAME OF SPOUSE:*

If there is no spouse, indicate N/A. If not applicable, skip questions 11 - 15.
11. How many years have you known the applicant's spouse?
- 0 - 1
- 1 - 3
- 3 - 5
- 5 - 10+
12. Briefly explain how you met and what your relationship is like now:
13. If applicable, how would you describe the applicant spouse's parenting skills?
- Very Capable
- Capable
- Average
- Poor
- Very Poor
- Don't know
- Not applicable

14. How would you rate the applicant's spouse in with the following statements:

	Outstanding - 1	Very Good - 2	Average - 3	Fair - 4	Poor - 5	Don't know
Ability to relate to others
Self-Aware
Adaptable to change
Conflict resolution skills
Sets healthy boundaries
Dependability
Takes initiative
Values diverse people
Manages stress
Keeps confidentiality
Able to prioritize and focus
Self-disciplined

15. Is there anything else about the applicant' spouse that we should consider?
Your Name:*
First Last
Consent
I agree that typing my name in the field above takes place of a written signature.
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Daytime Phone*
Occupation:
Email*
Date*
MM slash DD slash YYYY

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