Friends Reference Form Please enable JavaScript in your browser to complete this form.Thank you for your help!Your friend has submitted an application for ministerial credentials with the Southern New England District of the Assemblies of God. 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 judgment and appreciate your cooperation. Thank you for taking the time to complete this form as fully as possible. Your reply will be regarded as confidential.Applicant's Name *FirstLastYour Name *FirstLastAddress *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhoneExtensionYour Email *Your Occupation1. How long have you known the applicant?2. In what social context did you meet?3. In what capacity do you view your relationship with the applicant?AcquaintanceCasual FriendClose Friend4. Have you ever been entertained in the home of the applicant?YesNo5. Have you ever entertained the applicant in your home?YesNo6. How often have you been with the applicant socially?FrequentlyOccasionallySeldomNever7. Please check all the words below which you believe accurately describe the applicant:TimidNervousMatureDeliberateKindAbrasiveGentleLovingSarcasticCongenialSelfishTrustworthyImpatientTactfulPatientStubbornSecureMotivatedModestSocially AwkwardCompassionateStudiousConsiderateOrganizedImpulsiveIntelligentInsecureVerbalRelaxedAngry8. How would you describe the applicant's marriage?Not ApplicableVery Well-AdjustedWell AdjustedAdjustedStrainedVery StrainedDon't Know9. How would you describe the applicant as a disciplinarian?Very CapableCapableAveragePoorVery PoorDon't Know10. How would you describe the applicant's children?Not ApplicableVery Well-BehavedWell-BehavedAveragePoorly BehavedVery Poorly BehavedDon't Know11. How well do you judge the applicant's ability to keep confidence?Very GoodGoodAveragePoorVery PoorDon't Know12. Any further comments?SpouseInformation relative to the applicant's spouse13. Marital StatusMarriedNot Married14. Spouse's NameFirstLast15. How long have you known the applicant's spouse?16. In what social context did you meet the applicant's spouse?17. In what capacity do you view your relationship with him/her?AcquaintanceCasual FriendClose Friend18. Please check all the words below which you believe accurately describe him/her:TimidNervousMatureDeliberateKindAbrasiveGentleLovingSarcasticCongenialSelfishTrustworthyImpatientTactfulPatientStubbornSecureMotivatedModestSocially AwkwardCompassionateStudiousConsiderateOrganizedImpulsiveIntelligentInsecureVerbalRelaxedAngry19. How would you describe him/her as a disciplinarian?Very CapableCapableAveragePoorVery PoorDon't Know20. How well do you judge his/her ability to keep confidence?Very GoodGoodAveragePoorVery PoorDon't Know21. Any further comments?SignatureBy placing your initials in this box, you are putting your digital signature on this reference form.NameSubmit Reference Form
