Fresh Hope Student Referee Form You have been requested to be a referee and as such we would appreciate it if you would supply the information requested on this form in order to aid us in the evaluation of the applicant. The course they are applying for will equip them both theologically and practically, and the students will at times find themselves in potentially stressful situations, which will provide them with opportunity to grow in their character. It is therefore not in the applicant's best interest to give an unrealistically positive view of them. An honest, realistic appraisal of the challenges they will face will help rather than hinder their application. Your Name* First Last Email* Phone*Applicant's Name:*How long have you known the applicant?*What is your relationship to the applicant?*Do you feel you know the applicant well enough to complete this reference?*YesNoPhysical ConditionGood healthFairly healthySomewhat capablePhysically ineptNot observedIntelligenceBrilliant, exceptionalAlert, has a good mindAverage mental abilityLearns and thinks slowlyNot observedEmotional Resilience (to trying situations)Meets constructivelyGets discouraged easilyWithdrawsGets angry, impulsiveNot observedPersonalityWell-liked by othersLiked by othersTolerated by othersAvoided by othersNot observedResponsiveness (to others feelings)Very responsiveUnderstandingReasonably responsiveSlow to sense how others feelNot observedLeadership (inspiring others; maintains their confidence)A fully matured leaderHas some leadership promiseTries, but lacks abilityMakes no effort to leadNot observedAchievement (ability to formulate, execute and carry plans to conclusion)Superior creative abilityMeets average expectationsDoes only what is assignedStarts but does not finishNot observedTeamworkWorks well with othersUsually cooperativeInsists on having his/her wayFrequently causes frictionNot observedWillingness to ServeEager to serve as neededUsually willing to serveMotives confusedReluctant to serveNot observedListed below are some of the qualities that describe a leader. Please rate the applicant on a scale of 1-5. 1= Weak 2= Developing 3= Average 4= Mature 5= StrongTeachable Attitude12345Able to Make Decisions12345Ability to Communicate Clearly12345Positive Contagious Spirit12345Relating to Others12345Self-confidence12345Emotional Stability12345Ability to Motivate Others12345Able to Receive Criticism12345Respect for Others Beliefs12345Responsible12345Relating to the Opposite Sex12345Social Poise12345Able to Deal Interpersonally12345Please tick any of the below words or descriptions that may apply to the applicant (these will not exclude the applicant from the course, rather it is to give us insight into all aspects of their character). impatient intolerant argumentative domineering arrogant or critical of others easily embarrassed, offended, or discouraged frequently worried anxious nervous or tense given to moods shy or self conscious Additional CommentsCAPTCHANameThis field is for validation purposes and should be left unchanged.