Form

RSM Referral Form

The applicant for whom you are filling out this referral has applied for admission to Resurrection School of Ministry. This school is a part of Resurrection Fellowship of Loveland, Colorado. Serious consideration will be given to your comments, therefore we ask you to fill this out carefully.
What is the name of the applicant for whom you are filling out this referral?*
First Name Last Name
About Yourself
Relationship to applicant named above*

Pastor Friend Employer Teacher Co-Worker
Title

Mr. Mrs. Ms.
Full Name*
First Name Last Name

Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number*
- Area Code Phone Number
E-mail
Occupation*
Position*
How many years have you known the applicant?*
How well would you say you know the applicant?*
Character Profile

Please rate the applicant’s ability in these areas and comment where needed.
Ability to lead*

Excellent Good Poor Unknown
Additional Comments
Ability to follow*

Excellent Good Poor Unknown
Additional Comments
Willingness to be accountable*

Excellent Good Poor Unknown
Additional Comments
Response to, or respect for, those in authority*

Excellent Good Poor Unknown
Additional Comments
Takes initiative / Motivated*

Excellent Good Poor Unknown
Additional Comments
Teachable—willing to be corrected*

Excellent Good Poor Unknown
Additional Comments
Flexible / Open to change*

Excellent Good Poor Unknown
Additional Comments
Industrious / Hard worker*

Excellent Good Poor Unknown
Additional Comments
Response under pressure*

Excellent Good Poor Unknown
Additional Comments
Ability to follow through with tasks*

Excellent Good Poor Unknown
Additional Comments
Works well with others*

Excellent Good Poor Unknown
Additional Comments
Concern for others*

Excellent Good Poor Unknown
Additional Comments
Communication skills*

Excellent Good Poor Unknown
Additional Comments
Positive attitude*

Excellent Good Poor Unknown
Additional Comments
Emotional stability*

Excellent Good Poor Unknown
Additional Comments
Decision Making ability*

Excellent Good Poor Unknown
Additional Comments
Financial Responsibility*

Excellent Good Poor Unknown
Additional Comments
Attitude of gratefulness*

Excellent Good Poor Unknown
Additional Comments
Spiritual Growth*

Excellent Good Poor Unknown
Additional Comments
Does the applicant display high moral standards?*

Yes No
Please Explain*
To your knowledge, does the applicant struggle with or have they struggled in the past, with addictive behaviors such as smoking (cigarettes, Marijuana etc.), drinking, drug abuse, unhealthy relationships, pornography, etc?*

Yes No
If yes, please explain
If you are able, please comment on the applicant’s current family situation
What kind of involvement has the applicant had in church activities? (i.e. attends cell group, helps with Sunday school)*
Where do you see the applicant thriving in ministry? (eg. Children’s ministry, Youth, Music, Arts, Mercy)*
In your opinion, what are the applicant’s strengths and weaknesses?*
Would you have this person on your staff?*

Yes No
Please Explain*
Would you recommend the applicant to attend Resurrection School of Ministry?*

Yes, unreservedly Yes, with hesitation No
Please Explain*
Please use this space for any additional comments or considerations
By checking the box below, I am confirming that I have read and answered all questions truthfully to my knowledge.*

I Agree
Should be Empty:

RSM Referral Form

About Yourself

Character Profile