Student Reference You are completing a referral for GENERAL INFORMATION The person named above desires to be a student at the Amazing Facts Center of Evangelism and has given your name as a reference. The Amazing Facts Center of Evangelism is part of the Christian ministry of Amazing Facts, Inc. The center accepts those who have a commitment to Christian service and who will support the principles and practices of the Center. Thank you for your time in providing us with your honest appraisal of this applicant. We may also be contacting you by phone. This referral will be kept strictly confidential, the applicant will not be notified of your responses. How long have you known the applicant? * What has been your role? * --- Please Choose --- Acquaintance Pastor Teacher Other What are the applicant's greatest strengths? * In what ways might the applicant need to experience positive growth? * How will the applicant adjust to living in a dorm with others? * Do you know if the applicant struggles with commitment? * Does the applicant have any leadership roles in the church? If YES, what are they? * How engaged are they in church? * Do you have any information about the applicant’s life or background which you believe might be of particular concern to Amazing Facts Center of Evangelism? If so, please explain. * Do you know if the applicant struggles with authority? * Additional Comments (Optional) CHARACTER ASSESSMENT Please indicate below your assessment of the applicant for each category of evaluation. If you feel that you don’t know the applicant well enough for a fair evaluation on any specific item, you may just leave it blank. SPIRITUALITY - candidate is strong and stable Strongly Disagree Disagree Undecided Agree Strongly Agree INTELLECT - candidate is vigorous and creative Strongly Disagree Disagree Undecided Agree Strongly Agree JUDGMENT - candidate is sound and careful Strongly Disagree Disagree Undecided Agree Strongly Agree SERVICE ATTITUDE - candidate is compassionate and unselfish Strongly Disagree Disagree Undecided Agree Strongly Agree INDUSTRIOUSNESS - candidate is thorough and follows through Strongly Disagree Disagree Undecided Agree Strongly Agree RELATIONSHIP TO CHURCH - candidate is committed and loyal Strongly Disagree Disagree Undecided Agree Strongly Agree HEALTHFUL LIFESTYLE - candidate is conscientious and health-minded Strongly Disagree Disagree Undecided Agree Strongly Agree SOCIABILITY - candidate is secure and outgoing Strongly Disagree Disagree Undecided Agree Strongly Agree RECOMMENDATION Considering the applicant for acceptance as a student at Amazing Facts Center of Evangelism * I Recommend without reservation I recommend with some reservation I do not recommend under the present circumstances REFERENCE INFORMATION Reference Name Position or Title Street * City * Country * --- Please Choose --- Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory British Virgin Islands Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos Colombia Comoros Congo - Brazzaville Congo-Kinshasa Cook Islands Costa Rica Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard and McDonald Islands Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda S. Georgia and S. Sandwich Islands Saint Kitts and Nevis Saint Lucia Saint Vincent and The Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Korea Soviet Union Spain Sri Lanka St. Helena St. Pierre and Miquelon Sudan Suriname Svalbard and Jan Mayen Islands Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay US Minor Outlying Islands US Virgin Islands Uzbekistan Vanuatu Venezuela Viet Nam Wallis and Futuna Islands Western Sahara Yemen Yugoslavia Zaire Zambia Zimbabwe Your State / Province --- Please Choose a Country First --- Postal Code Phone Submit Referral(Click Once)