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Study Abroad Reference Form - Word Made Flesh

Your name:

Your phone number:

Your email address:

Name of the candidate:

Your relationship to the candidate:

How long have you known the candidate?

List 2-3 words that describe the candidate:

What do you observe are the applicant's greatest strengths?

{name}

Would you recommend this candidate to participate in study abroad with Word Made Flesh? Please briefly describe why or why not.

{name}

Considerate of Others

Please rate the candidate's ability in this area (1 - Poor 2 - Below Average, 3 - Average, 4 - Good, 5 - Excellent)

Possesses Integrity

Please rate the candidate's ability in this area (1 - Poor 2 - Below Average, 3 - Average, 4 - Good, 5 - Excellent)

Uses Good Judgment

Please rate the candidate's ability in this area (1 - Poor 2 - Below Average, 3 - Average, 4 - Good, 5 - Excellent)

Role Model

Please rate the candidate's ability in this area (1 - Poor 2 - Below Average, 3 - Average, 4 - Good, 5 - Excellent)

Trustworthy

Please rate the candidate's ability in this area (1 - Poor 2 - Below Average, 3 - Average, 4 - Good, 5 - Excellent)

Encouraging

Please rate the candidate's ability in this area (1 - Poor 2 - Below Average, 3 - Average, 4 - Good, 5 - Excellent)

Good Listener

Please rate the candidate's ability in this area (1 - Poor 2 - Below Average, 3 - Average, 4 - Good, 5 - Excellent)

Aware

Please rate the candidate's ability in this area (1 - Poor 2 - Below Average, 3 - Average, 4 - Good, 5 - Excellent)

Flexible

Please rate the candidate's ability in this area (1 - Poor 2 - Below Average, 3 - Average, 4 - Good, 5 - Excellent)

Effective Communicator

Please rate the candidate's ability in this area (1 - Poor 2 - Below Average, 3 - Average, 4 - Good, 5 - Excellent)

Teachable

Please rate the candidate's ability in this area (1 - Poor 2 - Below Average, 3 - Average, 4 - Good, 5 - Excellent)

Creative

Please rate the candidate's ability in this area (1 - Poor 2 - Below Average, 3 - Average, 4 - Good, 5 - Excellent)

Responsible

Please rate the candidate's ability in this area (1 - Poor 2 - Below Average, 3 - Average, 4 - Good, 5 - Excellent)

Fair/Equitable

Please rate the candidate's ability in this area (1 - Poor 2 - Below Average, 3 - Average, 4 - Good, 5 - Excellent)

Team Player

Please rate the candidate's ability in this area (1 - Poor 2 - Below Average, 3 - Average, 4 - Good, 5 - Excellent)

Spiritually Aware

Please rate the candidate's ability in this area (1 - Poor 2 - Below Average, 3 - Average, 4 - Good, 5 - Excellent)

Empathetic

Please rate the candidate's ability in this area (1 - Poor 2 - Below Average, 3 - Average, 4 - Good, 5 - Excellent)

Is there anything else you would like to add?

{name}

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