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.)

  • Outstanding - 1Very Good - 2Average - 3Fair - 4Poor - 5Don'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
  • If there is no spouse, indicate N/A. If not applicable, skip questions 11 - 15.
  • Outstanding - 1Very Good - 2Average - 3Fair - 4Poor - 5Don'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
  • MM slash DD slash YYYY