Church Leadership Reference FormThis form is to be completed by a pastor, elder, or someone else in formal leadership in the applicant's church. It should not be completed by a relative. The application file is not considered complete until this reference form has been received.Reference Information Your First Name Your Last Name Organization (if applicable) Your Email Address Your Phone NumberApplicant Information Applicant's First Name Applicant's Last Name Applicant's Email AddressPlease Rate the CandidateFor each of the headings below, please mark at least one item that describes the applicant. You may mark as many items as are applicable. Christian commitment and characterClearly committed to Christian values and lifestyleAt times commitment to Christian values is not strongHas difficulty being committed to Christian valuesNo basis for evaluation Self discipline and work habitsWell disciplined, completes work well in advanceCompletes work on timeAverage self discipline; completes work on time.Sometimes work is late and quality limitedEasily distracted; has difficulty completing workNo basis for evaluation TeachabilityVery open to new insights and perspectivesAble to discuss different views without defensivenessHas strong opinions and tends to be argumentativeRigid and opinionatedNo basis for evaluation Decision making abilityDecisions are carefully thought outOpen to the insights of other peopleAt times acts impulsivelyFrequently encounters problems because of poor decisionsNo basis for evaluation PerseveranceWorks hard and completes even difficult tasksUsually completes tasksAt times gets distracted and does not finish tasksFrequently does not finish tasksNo basis for evaluation RelationshipsEnjoys many positive relationshipsInsensitive and intolerant of othersInappropriate at times in mixed settingsDetrimental influence on othersFrequently offends othersHas difficulty making and keeping friendsHas a few close friendsPositive influence on othersNo basis for evaluationSensitive to the feelings of othersNo basis for evaluation Emotional stabilityWell balanced; is able to handle stressful circumstancesFrequently seems tense and anxious for no obvious reasonFrequently upset by relatively minor circumstancesAt times impatient and easily frustratedAt times moody and difficult to be aroundNo basis for evaluation Financial responsibilityPositive employment historyFrequently irresponsible with financial obligationsHas difficulty keeping jobsResponsible with financial obligationsNo basis for evaluationOther OtherRecommendation Multnomah strives to be an alcohol-free, tobacco-free, drug-free, and sexually pure campus. Is the applicant’s lifestyle consistent with these standards?YesNoNo basis for response Comments Please give a brief statement about the applicant's family background that will help us better understand him/her. Do you know of any views held by the applicant that may make it difficult for him/her to be part of the MU community? Has there been any evidence of criminal or social problems? Additional Comments - Please share whatever you think is important for the Multnomah Admission Committee to know about this student (e.g., areas where the student may need special attention, unusual strengths). How long have you known the applicant? In what capacity do you know the applicant? My Recommendation:I recommend this applicant enthusiastically.I recommend this applicant without significant concern.I recommend this applicant with mild reservation.I recommend this applicant with significant reservation.I do not recommend this applicant No basis for responding.Please call me regarding this applicant. Comments (Optional)I would like to receive more information about Multnomah I would like to receive information for:MyselfMy organization Please send information about:Undergraduate ProgramsGraduate ProgramsSeminary ProgramsAll of the above Mailing Address Address City StatePlease select...AKALARAZCACOCTDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMPMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVTWAWIWVWYOutside the US Zip Please type your name here as a signature affirming the accuracy of your responses. Hidden fields Student (Record Type) Constituent (Record Type) Household (Record Type) TypePlease select...Church Leadership Reference Organization (Record Type) Need assistance with this form?
