PAFCOE FULL-COURSE APPLICANT REFERENCE FORM

Full Name of Applicant*

First NameLast Name

Kindly provide us your most honest appraisal of the applicant. This referral will help us determine if the applicant qualifies to undergo the PAFCOE Full-Course Training. Be assured that the data you will provide will be kept strictly confidential. As needed, we may contact you by phone or e-mail for additional information or clarification.

Before you proceed, kindly skim through this form. Do not proceed if you think you cannot provide the required information. Otherwise, go ahead.

How long have you known the applicant?*

Years

What has been your relationship with the applicant?*

What, in your estimation, are the applicant's greatest strengths?*

In what areas of Christian living and commitment might the applicant need to experience growth?*

How will the applicant adjust to living in a new environment with different people?*

Does the applicant have any history of traumatic experience or mental problem? What can say about applicant's mental status? *

What other information about the applicant's life and background may be a special concern to PAFCOE? What are the issues involving the applicant?*

Please mark the bullet below which best describes the applicant for each category of evaluation. 1 indicates that the applicant is most like the Negative Characteristics and 5 indicates that the applicant is most like the Positive Characteristics 2, 3, and 4 indicates moderate association between the characters indicated. If you feel you don’t know the applicant well for a fair evaluation on any specific item, you may leave it blank.

SPIRITUALITY

	1	2	3	4	5

1 is Immature, Shaky, Stagnating, 5 is Strong, Stable, Growing

INTELLECT

	1	2	3	4	5

1 is Slow, Unmotivated, Self-Satisfied, 5 is Vigorous, Creative, Learning

JUDGEMENT

	1	2	3	4	5

1 is Rush, Impulsive, Headstrong, 5 is Sound, Careful, Teachable

SERVICE ATTITUDE

	1	2	3	4	5

1 is Indifferent, Self-centered, Needs Directing, 5 is Compassionate, Unselfish, Takes Initiative

INDUSTRIOUSNESS

	1	2	3	4	5

1 is Lazy, Incomplete, Needs Constant Supervision, 5 is Diligent, Thorough, Follows Through

RELATIONSHIP TO HIS/HER CHURCH

	1	2	3	4	5

1 is Critical, Divisive, Distant, 5 is Deeply Committed, Loyal, Supportive

HEALTHFUL LIFESTYLE

	1	2	3	4	5

1 is Uniformed, Careless, Seems Sickly, 5 is Informed, Conscientious, Seems Healthy

SOCIABILITY

	1	2	3	4	5

1 is Shy, Introverted, Unsocial, 5 is Secure , Outgoing, Friendly

Considering the applicant for acceptance as a student of PAFCOE:

I recommend WITHOUT reservationI recommend with SOME reservationI DO NOT recommend under the PRESENT circumstancesI DO NOT recommend under ANY circumstances

Your Name*

First NameLast Name

Your Position/Office*

Your Phone No.*

Your E-mail Address*