Personal Reference Form If you are human, leave this field blank.Naioth College Personal ReferenceYour Name:AddressApt, suite, etc.CountryUnited States (US)United Kingdom (UK)CanadaAustralia---AfghanistanÅland IslandsAlbaniaAlgeriaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAmerican SamoaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelauBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo (Brazzaville)Congo (Kinshasa)Cook IslandsCosta RicaCroatiaCubaCuraÇaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqRepublic of IrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorwayOmanPakistanPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalQatarReunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Martin (Dutch part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSan MarinoSão Tomé and PríncipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaWestern SamoaYemenZambiaZimbabweCityZip codePhoneEmailApplicant's Name:How long have you known the applicant?What degree of commitment to Christ does the applicant exhibit?Highly CommittedMostly CommittedSomewhat CommittedOccasionally CommitedUncommittedHow well do you know the Applicant?Extremely Well (Very close friends)Very Well (close friends)WellSomewhat WellHardly knownUnknownWhat level of involvement in the church have you witnessed the applicant exhibit?Highly InvolvedGenerally InvolvedSomewhat InvolvedRarely InvolvedWhat do you perceive to be the applicant’s best qualities? Please include their spiritual giftings.What do you perceive to be the applicant’s weaknesses?Does the applicant smoke or have an ongoing problem with drinking or drugs?YesNoUnsureIf Yes, please describe:Has the applicant had a history of mental illness?YesNoUnsureIf Yes, please describe:Have you observed the call of God on their life for ministry?YesNoUnsureIf Yes, please describe:Have you observed the call of God on their life for leadership?YesNoUnsureIf Yes, please describe:Regarding the applicant’s spiritual gifts, have you observed them in operation?YesNoUnsureIf Yes, please describe:Are you aware of any incidents or examples in which the applicant compromised his/her Christian faith or moral integrity? If so please explain. How was it resolved?Has the applicant proven on any occasion to be unreliable, dishonest or of questionable character after his/her conversion? If so please explain.Do you have any reservations about the applicant attending Naioth College? If Yes, please describe:Do you recommend the applicant for admission to this training program?YesNoYes (with reservations)How do you think this course will aid the applicant’s development?Please indicate how the applicant performs in the following areas.Note: 4 = very well, 3 = well, 2 = not very well, 1 = not wellRelating to authority:1234Class schedule and participation:1234Getting along with others:1234Relating to unbelievers:1234Attitudes to serving:1234Leadership skills:1234Ability to cope with flexibility:1234Do you have any additional comments:DateSubmit