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Application for Admission
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Reference Form
Recommendation on behalf of prospective student whose name is:
Salutation
*
Mr.
Mrs.
Miss
Ms.
Rev.
Dr.
Full Name
*
Last, First, Initial
How long, and in what capacity have you known this applicant?
*
Comment on the applicant’s suitability for ministry in light of his or her goals as you understand them.
*
How does the applicant relate to stress?
*
What is your perception of the applicant’s emotional maturity?
*
Are you aware of anything that might hinder the applicant’s ability to carry forward ministry?
*
If this candidate is admitted to the Carey Institute, his/her chief need for personal development or improvment will be:
*
Would you recommend this applicant for admission?
Unqualified recommendation
Yes, recommended for admission
Recommend with reservation
Do not recommend
Evaluation of Priority and Conduct
Spiritual Life and Testimony
*
No interest in spiritual life
Little evidence of spiritual life
Average- shows growth
Consistent testimony
Do not know
Influence on Others
*
Detrimental influence
Passive- not positive influence
Varying influence
Consistently good influence
Unusually wholesome influence
Do not know
Purposefulness
*
Aimless drifter
Vacillates in purpose
Average self-directed
Strives to realize well-formed purpose
Do not know
Acceptance by Others
*
Avoided by others
Tolerated by others
Liked by others
Well-liked by others
Sought after by others
Do not know
Initiative
*
Requires constant oversight
Succeeds if closely supervised
Average occasional initiative
Shows good initiative
Actively creative
Do not know
Responsibility
*
Irresponsible
Shows some dependability
Usually reliable
Consistently reliable
Capable of much responsibility
Do not know
Industry
*
Needs continual prodding
Needs occasional prodding
Prefers assigned tasks
Goes beyond what is required
Seeks additional work
Do not know
Emotional Qualities
*
Too emotional
Excitable
Usually well-balanced
Consistently well-balanced
Of unusual emotional stability
Do not know
Leadership
*
Always a follower
Tries but usually fails at leadership
Assumes occasional leadership
Good leadership
Inspiring and successful leader
Do not know
Self-Discipline
*
No self-discipline
Inconsistent
Average self-discipline
Strong self-discipline
Do not know
Team Work
*
Prefers to work independently
Sometimes works cooperatively with others
Good team player
Facilitates team success
Do not know
Social Appropriateness
*
Inappropriate in social situations
Careless/unconcerned
Average social skills
High social skills
Do not know
Additional Comments
Your Name
*
Email
*
The above information is correct and accurate
*
I agree
Date
*
Upcoming Courses Events
Jul
8
Mon
9:00 am
Summer @ Carey: WEEK 1 ~Expressing the Beatitudes through Justice and Compassion
Summer @ Carey: WEEK 1 ~Expressi…
Jul 8 @ 9:00 am – Jul 12 @ 1:00 pm
Summer @ Carey: WEEK 1 Expressing the Beatitudes through Justice and Compassion Presenters: Dr. Jonathan Wilson & Jonathan Wilson-Hartgrove (father and son-in-law) with morning [...]
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