AWSOM Reference Form

AWSOM Ministry
Australian Wesleyans Serving Overseas Missions

Confidential Reference Form

Name of Applicant going on an AWSOM team.

First Name Last Name

What is your relationship to the applicant?

How many years have you known the applicant?

Do you feel you know this person fairly well?

YES NO

I. Applicant and Appearance:

	(1)Poor	(2)Fair	(3)Average	(4)Good	(5)Excellent
1. The first impression given by applicant is
2. Applicant's manners
3. Applicant's readiness to listen
4. Degree of displayed respect
5. Orderliness of person

II Applicants Attitude

	(1) Poor	(2) Fair	(3) Average	(4) Good	(5) Excellent
1. Display of optimism
2. Display of tact
3. Evidence of enthusiasm
4. Sense of humor
5. Friendliness
6. Self confidence
7. Spirit of goodwill
8. Outlook toward authority
9. Attitude toward work
10. Attitude toward family
11. Degree of unselfishness
12. Readiness to care about others
13. Degree of patience
14. Teachability
15. Flexibility

III The Applicant and Relationships

	(1) Poor	(2) Fair	(3) Average	(4) Good	(5) Excellent
1. Ability to make and keep friends
2. Ability to be part of a team
3. Ability to sense the needs of others
4. Willingness to let others speak
5. Degree of courtesy
6. Estimate of applicant by his/her peers
7. Ability to help others feel a sense of worth
8. Applicant's treatment of mate (if applicable)
9. Able to build trusting relationships with others

V. Performance

	(1) Poor	(2) Fair	(3) Average	(4) Good	(5) Excellent
1. Ability to understand job
2. Ability to follow instructions
3. Ability to work under pressure
4. Submission to authority
5. Effectiveness in communication
6. Grasp of new ideas
7. Attendance and punctuality
8. Persuasiveness
9. Commitment to God
10. Ability to instruct groups
11. Ability to make decisions
12. Ability to adjust to a new culture
13. Degree of integrity; discretion
14. Consistency of Christian example
15. Mental alertness; logic; wisdom
16. Willingness to accept responsibility
17. Reliability
18. Initiative
19. Quality of work
20. Ability to manage others
21. Degree of energy

VI. Miscellaneous

1. Would you hire or appoint this person if the circumstances were right?

YES NO

2. Is there anything else about this person you think we should know? If so detail here.

Full Name

First Name Last Name

Sign by using your computer mouse or touch screen.

Wesleyan World Missions. PO Box 5436 Alexandra Hills Qld 4161

awsom@wwm.org.au 0424223333