OKLAHOMA INDIAN MISSIONARY CONFERENCE
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Leader Reference Form
Leader Reference Form 2021-2024
Name
First
Last
City
The above-named individual has applied to work with children and/or youth within our conference. Please honestly complete this form as it relates to this person and his/her characteristics and qualifications to work in such settings. How long have you known the applicant?
The above-named individual has applied to work with children and/or youth within our conference. Please honestly complete this form as it relates to this person and his/her characteristics and qualifications to work in such settings.
How long have you known the applicant?
Please enter a number from
0
to
50
.
In what capacity?
In what capacity?
Please rate this individual in the following areas: Personal Habits
Please rate this individual in the following areas:
Personal Habits
Excellent
Good
Average
Poor
Moral Character
Moral Character
Excellent
Good
Average
Poor
Compassion
Compassion
Excellent
Good
Average
Poor
Responsibility
Responsibility
Excellent
Good
Average
Poor
Emotional Stability
Emotional Stability
Excellent
Good
Average
Poor
Christian Maturity
Christian Maturity
Excellent
Good
Average
Poor
Openness to Critique
Openness to Critique
Excellent
Good
Average
Poor
Teamwork Ability
Teamwork Ability
Excellent
Good
Average
Poor
Health
Health
Excellent
Good
Average
Poor
Comments or Explanations
Comments or Explanations
Electronic Signature
First
Last
Address
Street Address
City
State / Province / Region
ZIP / Postal Code
Δ
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LEADER REFERENCE FORM 2021-24
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