Missionary Reference - Employer/Friend

Name of Recommender (Your Name)*

First Last

Church Name*

Name of Missionary Candidate*

How well do you know him/her?*

Just by name and sight
Casually, I have had a few personal contacts
Fairly well, I have had a number of personal contacts
Very well, I have had multiple personal contacts

Relation to the applicant*

Have you any reason for lack of confidence in this applicant? If so, why?

Do you feel he/she can adjust easily to new and different circumstances?*

Yes
No

Does he/she exhibit a positive or negative attitude? If possible, please give an example?*

Have you known this person to consume alcohol or habit forming drugs?*

Yes
No

What do you consider his/her greatest weakness?*

Are there any personality traits which hinder this applicant in his/her relationship with others? If so, please explain?*

This applicant has trouble getting along with

Men
Women
Children
Authority

Cooperativeness*

Good Judgement*

Trustworthiness*

Tactfulness*

Courtesy*

Personality*

Influence on Others*

Social Maturity*

Emotional Stability*

Personal Appearance*

Calling*

Passion*

Motivation*

Would you recommend the applicant's admission unhesitatingly to SCORE? *If you are not able to recommend unhesitatingly, please indicate why through the "is there anything else we should know" question at the bottom of the form.*

Yes
No

SCORE takes the protection of children very seriously. Do you have any concerns about this person with children?*

Yes
No

Is there anything else we should know about the applicant?

Phone

This field is for validation purposes and should be left unchanged.