friendreference - Cambodian Mission Outreach

The applicant below has applied to serve as a missionary with Cambodia Mission Outreach (CMO). We are a locally run ministry dedicated to educating the poor, preaching the Gospel, and raising up nationals for Christian leadership. While serving with CMO, the applicant will have the opportunity to put forth their skills, gifts, and services to advance the kingdom of God here in Cambodia. Our working, and living conditions may be basic and could prove stressful to some, so it is in the best interest of the applicant that your reference is not overly optimistic, but realistic. Serious consideration will be given to your comments, therefore we ask that you complete this form carefully.

1. Name of Applicant:
2. How well do you know the applicant?	Very Well Well Casually
3. How do you know the applicant?
4. To what extent is the applicant active in church service?
5. In your consideration, which of the following would best describe the applicant’s Christian experience?	Mature Genuine and growing Minimal, but constant Immature
Comments:
6. To the best of your knowledge, how industrious is he/she as a student or worker?	Usually conscientious and hard working Works harder than most others Does about as much work as other people Very lazy Works less than most others Have no basis for judgment
7. How does he/she get along with others?	Well liked Strongly disliked Gets along as well as most others Sometimes has difficulty getting along with others Has no basis for judgment
8. What sort of companions does he/she usually associate with?
9. Does he/she display high moral standards?	Y N
Please explain:
10. To your knowledge, does the applicant:	smoke? consume alcohol? use illegal drugs?
Comments:
11. If the applicant is married, how would you describe his/her relationship with their spouse (and children, if applicable)?
12. Why in your opinion, is the applicant applying to serve with CMO?	Personal spiritual growth For the gospel Adventure To help others For future ministry
Other:
13. Where do you see areas, in the applicant’s life, that require growth?
14. What growth have you, personally, observed?
15. What do you consider to be the applicant’s areas of strength?
16. Do you have any reservations about recommending the applicant to serve in Cambodia with CMO?
17. Please check the appropriate box:
Initiative	Unknown Fair Poor Good Excellent
Cultural Adaptability	Unknown Fair Poor Good Excellent
Concern for others	Unknown Fair Poor Good Excellent
Acceptance of correction	Unknown Fair Poor Good Excellent
Leadership	Unknown Fair Poor Good Excellent
Self Esteem	Unknown Fair Poor Good Excellent
Health	Unknown Fair Poor Good Excellent
Honesty	Unknown Fair Poor Good Excellent
Financial responsibility	Unknown Fair Poor Good Excellent
Moral character	Unknown Fair Poor Good Excellent
Humility	Unknown Fair Poor Good Excellent
Able to work with others	Unknown Fair Poor Good Excellent
Flexibility	Unknown Fair Poor Good Excellent
Responsible	Unknown Fair Poor Good Excellent
18. I take responsibility for all information I have provided in this form:	Yes No
19. Name:
Email Address:
Date:
Position:
Address:
Phone #:
Thank You!

Friend Reference