MA Reference Form

IMPORTANT: The applicant has waived any right to read or obtain copies of this recommendation. The applicant has applied for admission to Youth With A Mission. Serious consideration will be given to your comments; therefore, we ask that you complete this form carefully. Your early response will be most appreciated, as the applicant's file cannot be considered until this office has received all forms. Please feel free to make additional comments and send them to [email protected] Thank you for taking your time to help us in this way. We sincerely appreciate your cooperation.

Name of Applicant:(Required)

Known Applicant For How Long?(Required)

Please check the following, and comment when necessary.

How would you assess the applicant's

Comments:

Is the applicant active in church work? (Please give details.)(Required)

Please Explain:

Please Explain:(Required)

Please Explain:

Please comment on the applicant’s family background (If Known):

What could YWAM do to aid the applicant’s personal development?

Please add any other pertinent remarks (i.e. medical, psychological, drug or alcohol abuse, criminal record, occult practices, etc.).

Is the applicant financially responsible?(Required)

Please Explain:

Personal Information

Your Name:(Required)

Title:(Required)

Phone(Required)

Please type your full name to certify that the information given above is accurate(Required)

Today's Date(Required)

Please check the following, and comment when necessary.

How would you assess the applicant's

Personal Information