Reference Form

We want you to know that the students will not see your answers and are only viewed by the staff at Emmaus to evaluate students readiness for the life, work and study of the school.

Applicant Name *
Applicant Name
Reference Name *
Reference Name
How long have you known the applicant?
Does the applicant know Jesus as personal Lord and Savior and display Christ in everyday living? How?
Do you support the applicant in their decision to apply to this school? If no, please explain?
In what areas of ministry have you seen the applicant participate?
How do you feel the applicant will do with community/dorm life? Do you have any concerns? Dorm Living is for residency students only.
How does the applicant respond to designated authority and standards?
Please comment on the applicants ability to care for the needs of others and establish healthy relationships.
How does the applicant deal with relationships of the of the opposite sex?
Do you have any reservations/comments concerning the financial integrity of the applicant? If yes, please explain.
Do you have any reservations/comments concerning the personal integrity of the applicant? If yes, please explain.
Please summarize the applicants suitability for attending this school, commenting on any reservations you may have and/or considerations that may influence his/her ability to successfully complete this course.

Reference Survey

Applicant's Name *
Applicant's Name
Reference's Name *
Reference's Name
Personal Character *
Personal Character
Does the applicant exhibit the traits below:
Self-Discipline
Teachability
Flexibility
Perseverance
Reliability
Punctuality
Common Sense
Integrity
Academic focus
Financial responsibility
Stewardship
Industriousness
Respect for Authority
Healthy
Emotional Maturity *
Emotional Maturity
Self-confidence
Self-esteem
Ability to deal with Stress
Aware of personal strengths/weaknesses
Ability to deal with interpersonal problems
Overall Emotional Maturity
Spiritual Maturity *
Spiritual Maturity
Does the applicant exhibit the traits below:
Concept of Grace
Knowledge of the Bible
Consistency in Christian walk
Empathy
Respect for others opinions
Overall Spiritual Maturity
General Traits *
General Traits
Does the applicant exhibit the traits below:
Critical
Argumentative
Domineering Manner
Procrastination
Impracticality
Irritability
Anxiety/worry
Dependency
Eating Disorder
Behavioral Disorder
Drug abuse
Close-minded
Flirting
Sexual Immorality
Easily Embarrassed
Easily Discouraged
Prejudice
Impatience
Arrogant
Frequent Exaggeration
Lake of Humor
Depression
Dishonest
Manipulative
Social Adaptability *
Social Adaptability
Does the applicant exhibit the traits below:
Cooperation
Tactfulness
Communication skills
Neatness of person
Respected by peers
Positive/Contagious Spirit
Leadership Potential *
Leadership Potential
Does the applicant exhibit the traits below:
Initiative
Willingness to serve
Decision making ability
Organization skills
Ability to follow
Ability to motivate
Giftings *
Giftings
Does the applicant exhibit the traits below:
Counseling
Motivating & Training
Music
Discipleship
Evangelism
Administration
Prayer
Teaching
Working with Seniors
Working with Adults
Working with teens
Working with children
Worship