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. Thank you for taking the time to complete this form. (NOTE: The Applicant (and spouse, if applicable) have a signed Authorization and Release form on file in the district office to release you to confidentially share and waiving their right to see your reference).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?0-1 year1-3 years3-5 years5-10+ years2. Briefly explain how you met and what your relationship is like now.3. What are the applicant's greatest strengths?4. Describe the areas in which the applicant needs to grow.5. What are the God-given gifts you observe that make the applicant well suited for credentials?6. Please rate the applicant in the following areas:Ability to relate to othersOutstandingVery GoodAverageFairPoorDon't knowSelf-awareOutstandingVery GoodAverageFairPoorDon't knowAdaptable to changeOutstandingVery GoodAverageFairPoorDon't knowConflict resolution skillsOutstandingVery GoodAverageFairPoorDon't knowSets healthy boundariesOutstandingVery GoodAverageFairPoorDon't knowDependabilityOutstandingVery GoodAverageFairPoorDon't knowTakes initiativeOutstandingVery GoodAverageFairPoorDon't knowValues diverse peopleOutstandingVery GoodAverageFairPoorDon't knowManages stressOutstandingVery GoodAverageFairPoorDon't knowKeeps confidentialityOutstandingVery GoodAverageFairPoorDon't knowAble to prioritize and focusOutstandingVery GoodAverageFairPoorDon't knowSelf-disciplinedOutstandingVery GoodAverageFairPoorDon't know7. If applicable, how would you describe the applicant's marriage?Not ApplicableVery Well-AdjustedWell AdjustedAdjustedStrainedVery StrainedDon't Know8. If applicable, how would you describe the applicant's parenting skills?Not ApplicableVery Well-AdjustedWell AdjustedAdjustedStrainedVery StrainedDon't Know9. How would you describe the applicant's children?Not ApplicableVery Well-BehavedWell-BehavedAveragePoorly BehavedVery Poorly BehavedDon't Know10. Is there anything else about the applicant that we should consider?INFORMATION RELATIVE TO APPLICANT'S SPOUSEApplicant's Marital StatusMarriedNot MarriedSpouse's NameFirstLast11. How long have you known the applicant's spouse?0-1 year1-3 years3-5 years5-10+ years12. Briefly explain how you met and what your relationship is like now.13. If applicable, how would you describe the applicant's parenting skills?Not ApplicableVery Well-AdjustedWell AdjustedAdjustedStrainedVery StrainedDon't Know14. Please rate the applicant's spouse in the following areas:Ability to relate to othersOutstandingVery GoodAverageFairPoorDon't knowSelf-awareOutstandingVery GoodAverageFairPoorDon't knowAdaptable to changeOutstandingVery GoodAverageFairPoorDon't knowConflict resolution skillsOutstandingVery GoodAverageFairPoorDon't knowSets healthy boundariesOutstandingVery GoodAverageFairPoorDon't knowDependabilityOutstandingVery GoodAverageFairPoorDon't knowTakes InitiativeOutstandingVery GoodAverageFairPoorDon't knowValues diverse peopleOutstandingVery GoodAverageFairPoorDon't knowManages stressOutstandingVery GoodAverageFairPoorDon't knowKeeps confidentialityOutstandingVery GoodAverageFairPoorDon't knowAble to prioritize and focusOutstandingVery GoodAverageFairPoorDon't knowSelf-disciplinedOutstandingVery GoodAverageFairPoorDon't know15. Is there anything else about the applicant's spouse that we should consider?SignatureBy typing my name here, I am digitally signing this document, I hereby certify that all statements provided are true and correct.CommentSubmit Reference Form
