Pastoral / Personal Reference Dear Referee of Ministry Trip Applicant, You have been nominated by the applicant to complete this confidential reference to ascertain the suitability of the applicant for a Global Mission Awareness Ministry Trip. We take seriously our responsibility toward those to whom we minister, both here and abroad. Therefore, Global Mission Awareness greatly appreciates your supplying the information requested on this form. This form must not be completed by a family member or relative of the applicant. References will be checked to ascertain the integrity of the reference.Trip Destination: (required)*Cuba May 2023Cuba September 2023Philippines 2023Applicant's Name: (required)* Referees Full Name: (required)* Referees Email: (required)* Referees Phone: (required)* How long have you been acquainted with the applicant? (required)* What is your relationship to the applicant? (required)* The applicant must be able to accommodate himself/herself readily to unaccustomed living conditions and new social situations. Adjustment may have to be made in relation to diet, social customs, climate changes, etc. Keeping in mind the challenge of these unusual demands, please rate this applicant by checking a block under each of the following categories.Physical Condition: Below average health Average health Good health Excellent health Social Interaction: Avoided by others Tolerated by others Liked by others Well-liked by others Emotional Resilience (in trying situations): Gets angry; impulsive Withdrawn Easily discouraged Calm & resilient Achievement (ability to formulate, execute & carry plans to conclusion): Starts but does not finish Does only what is assigned Meets average expectations Superior creative ability Teamwork: Frequently causes friction Insists on having own way Usually cooperative Works well with others Energized by teamwork Willingness to serve: Reluctant Motives confused Usually willing Eager Leadership (ability to inspire others & maintain their confidence): Low leadership ability Tries but lacks ability Some leadership ability Competent leader Prayer Ministry (experience praying for inner and physical healing):: Very little experience Moderate experience Experienced minister Highly experienced Christian experience: Relatively superficial Over-emotional Alert and good mind Brilliant, exceptional Responsiveness (to feelings & needs of others): Low sensitivity Reasonably responsive Understanding/thoughtful Extremely responsive Listed below are some of the tendencies which, if present, may reduce the effectiveness of the applicant. Please tick any words or descriptions which pertain to applicant (leave blank if none apply) Impatient Argumentative Domineering Cocky Easily Offended Critical of others Anxious Easily embarrassed Easily discouraged Frequently worried Nervous or tense Given to moods Intolerant Lacking in humor Can't take a joke Unable to cope with stress Erratic in attitudes Racially prejudiced Self-absorbed Please comment briefly on the family and social background of the applicant (if known)Is the applicant financially responsible?* Yes No Please describe any physical limitations the applicant may have.To the best of your knowledge, has the applicant: Proven on any occasion to be unreliable, dishonest, or of questionable character?* Yes No Ever been arrested for any offense other than minor traffic violations?* Yes No Ever been involved in drug abuse, homosexuality, or the occult?* Yes No Ever received psychiatric treatment?* Yes No Any unresolved problems in their life? (eg. anger, unforgiveness, impurity)* Yes No If your responded YES to any of the above please briefly outline details:What is your overall evaluation of the applicants promise as a Ministry Team applicant? He/she is definitely unsuited At this time I feel he/she is not suited He/she is a good prospect, but I have reservations He/she is an average prospect He/she is an above average prospect He/she is an exceptional prospect Check any of the following that you feel are motivating the applicant to become involved with ministry team:* Christian Service Desire to spread the gospel Receive help, ministry Travel Desire to help others Escape unpleasant home situation Adventure Discipleship Other Electronic Signature (full name required):* First Last Date MM slash DD slash YYYY