OAC MINISTRIES (NZ) INC
NATIONAL TRAINING DPT
509 Frederick St, Mahora,
HASTINGS
NEW ZEALAND
PH: 06 870 6027
021 1225672
EMAIL:
[email protected]Reference Form
Applicant to sign and forward to Referee (Minister / Pastor / Elder / Youth Pastor)
I hereby consent to OAC Ministries gathering and holding this confidential reference concerning
me and using this reference in their application processes.
Name:______________________________________ Church:_________________________
Signed: _____________________________________ Date: __________________________
Connection with Applicant:
1.
How long have you known him/her?
______________________________________
2.
3.
In what capacity? (E.g. Pastor / Counsellor)
How well do you know him/her?
______________________________________
______________________________________
Not very well
Fairly Well
Very Well
Further Comments.
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Character and Personality:
4.
How would you assess the applicant in the following areas?
____________________________________
4.1 Judgement and Common Sense
Below Average
Above Average
4.2
Self Discipline
____________________________________
4.3
Temperament
____________________________________
Use of Time
____________________________________
4.5
Perseverance
____________________________________
4.6
Sense of Humour
____________________________________
4.7
Use of Money
____________________________________
4.8
Attitude to Debt
____________________________________
4.9
Adaptability
____________________________________
4.10 Character Strength
____________________________________
4.4
Below Average
Reserved
Undisciplined
Gives up Easily
Little
Spendthrift
Irresponsible
Inflexible
Weak
Above Average
Outgoing
Fluctuating
Average
Usually Persists
Average
Spends Wisely
Pays when Reminded
Usually Adapts
Average
Even
Disciplined
Persistent
Evident
Frugal
Responsible
Flexible
Strong
Further Comments:
________________________________________________________________________________
________________________________________________________________________________
5.
Do you have any comments about the applicants background which you think may have affected
him / her in some way relevant to this applicant?
________________________________________________________________________________
________________________________________________________________________________
Physical and Mental Health:
6.
Applicants Physical Condition?
7.
Applicants Emotional Stability?
8.
Nervous or Mental Breakdown?
____________________________________
Not very strong
Average Health
Very Robust
____________________________________
Easily Stressed
Usually Balanced
Well Controlled
____________________________________
Yes
Dont know
No
Further Comments:
_____________________________________________________________________________________
_____________________________________________________________________________________
9.
Suffers from Depression?
____________________________________
Frequently
Sometimes
Seldom
Further Comments:
_____________________________________________________________________________________
_____________________________________________________________________________________
10.
Applicants ability to study?
____________________________________
Below Average
Average
Above Average
Further Comments:
_____________________________________________________________________________________
_____________________________________________________________________________________
Relationship with Others:
11.
How does the applicant relate to others in the following areas?
11.1 Unselfishness
____________________________________
11.2 Friendliness
____________________________________
11.3 Social Acceptability
____________________________________
11.4 Courtesy
____________________________________
11.5 Reaction to Authority
____________________________________
11.6 Assertiveness
11.7 Dependence on Others
11.8 Tactfulness
Self-centred
Reserved
Avoided by Others
Lacking
Resents
Average
Average
Average
Average
Usually Respects
Thoughtful
Very Friendly
Liked by Most
Very Courteous
Excellent Attitude
____________________________________
Little
Some
Dominating
____________________________________O
ver Dependant
Well Balanced
Very Dependent
____________________________________
Below Average
Average
Above Average
Further Comments:
_____________________________________________________________________________________
_____________________________________________________________________________________
____________________________________
12.
Team work?
13.
How does the applicant relate to the opposite sex?
A Loner
Can work with others
Team worker
_____________________________________________________________________________________
_____________________________________________________________________________________
Further Comments:
_____________________________________________________________________________________
_____________________________________________________________________________________
Spiritual Life
14.
To what extent does the applicant show:
14.1 A vital personal relationship with God? __________________________________________
_______________________________________________________________________________
14.2 The fruit of the Spirit (Galatians 5:22-23) _________________________________________
________________________________________________________________________________
14.3 Spiritual Gifts (as listed in Romans 12, I Corinthians 12, Ephesians 4).
________________________________________________________________________________
________________________________________________________________________________
15.
14.4 Devotional Bible Reading and Prayer?
____________________________________
14.5 Interest in Christian Reading?
____________________________________
Infrequent
Little
Often
Some
Regular
Avid
Has the applicant shown evidence of spiritual growth?
YES / NO
____________________________________
15.1 For How long?
Less than 1 year
15.2 How consistent has growth been?
1 year or more
Over 2 years
____________________________________
Up and Down
Steady Progress
Marked Progress
Church Achievements And Abilities:
16.
What church does the applicant attend regularly? ________________________________________
17.
In what ways does the applicant contribute?_____________________________________________
18.
________________________________________________________________________________
____________________________________
Is the applicant involved in regular evangelism?
Seldom
Sometimes
Active
19.
To what extent does the applicant possess or show potential for the following:
____________________________________
19.1 Genuine concern for people
Not Evident
Above Average
19.2 Ability to help others grow
19.3 Willingness to serve others
____________________________________
19.4 Ability to communicate ideas
19.5 Specifically effective with:
19.6 Leadership Ability
20.
Some
____________________________________
Not Evident
Not Evident
Some
Some
Above Average
Above Average
____________________________________
Not Evident
Some
Above Average
____________________________________
Not Evident
Some
Above Average
____________________________________
Not Evident
Some
Above Average
Do you think the applicant shows potential for any particular kind of Christian service, if so what?
________________________________________________________________________________
________________________________________________________________________________
21.
Does the applicant have any particular belief, doctrine or practice about which you think we should
be made aware?
________________________________________________________________________________
________________________________________________________________________________
Church Support of Applicant:
22.
In what way has the applicant sought his/her Churchs support for his / her application to attend the
OAC School of Evangelism?
________________________________________________________________________________
________________________________________________________________________________
23.
To what extent does the church support this application?
________________________________________________________________________________
________________________________________________________________________________
24.
Is the church prepared to support the applicant financially?
________________________________________________________________________________
25.
Are you happy to give the applicant opportunity to use this training in your church? (This could
involve organizing outreaches, training others, involvement with existing outreach programmes and
opportunity to preach).
________________________________________________________________________________
Final Comments
26.
To help us understand the suitability of the applicant do you have any further comments?
________________________________________________________________________________
________________________________________________________________________________
27.
Do you recommend this applicant for this Evangelism training course?
________________________________________________________________________________
________________________________________________________________________________
Name: ________________________________ Position: ______________________
Address:
______________________________________________________________
______________________________________________________________________
Telephone: _________________________
Email:
______________________
Signature: __________________________________________
Date: ______________________________________________
Thank you for taking the time to complete this form and helping us in the selection process for the upcoming School of Evangelism. We realize you are a busy person so your assistance in this way is very
much appreciated, thank you.
Please post to
Evangelism Extreme
OAC Ministries
509 Frederick St, Mahora,
HASTINGS 4120
We would be grateful if this was sent as soon as possible to allow time for notifying the applicant of our decision.