Leadership School Reference Form Name Infusion Reference Form This form does not have an option to save. Please intend on finishing this form in one sitting. The applicant applied to our Leadership focused Infusion Youth Camp. We take seriously our responsibility to steward applicants. Therefore, Infusion appreciates your response to the requested information. Thank you! Student's First Name: Student's Last Name: Your Name: * Your Email: * Are you completing this form as a pastoral or personal reference? * Pastoral Reference Personal Reference How long have you been acquainted with the applicant? In what capacity? * In which area(s) of leadership has the applicant served, and in which area(s) is he/she currently serving? * * Which characteristics best describe the applicant? Please check all that apply. Christian Committment Social Adaptability Cooperativeness Integrity and Honest Responsibilty Mental Ability Initiative Christian Character Reliability Which of these words which may describe the applicant at times? Please check all that apply: Impatient Intolerant Argumentative Erratic in attitudes Domineering Critical of Others Easily Worried Addictive Behaviors Easily Offended Discouraged Unable to cope with stress Anxious Easily Embarrassed Nervous/ tense We ask for honesty, so we may consider how we can best grow the applicant.* What do you consider to be the applicant’s strengths? What do you consider to be the applicants weaknesses? In what form of ministry and/or leadership does the applicant wish to grow in? To your knowledge, has the applicant made a personal commitment to Jesus Christ? Yes No To your knowledge, does this applicant drink alcohol in excess? Yes No To your knowledge, does this applicant use tobacco? Yes No To your knowledge, does the applicant use illegal drugs? Yes No
