Application Reference Name* First Name Last Name Your email address* Name of the person you are recommending* First Name Last Name Type of reference*--Select--General / Personal ReferencePastor / Mentor ReferenceEmployer ReferenceDates of employmentReason for leavingEligible for Rehire? Yes No How long have you known the applicant?*How well do you know the applicant?*--Select--Very WellWellNot very wellIs there any indication that the applicants’ decision to apply to serve with Cadence has been significantly influenced by:* A desire to escape difficult personal, family or vocational situations? An unrealistic appraisal of what is involved in Christian service? A desire for travel, adventure, etc.? N/A What is your perception of the applicant's work ethic and ability to perform in the role for which they are being considered?*To your knowledge, how does the applicant respond under difficult circumstances? Please give an example*Are you aware of any of the following within the family?* Poor relationships with each other? Poor discipline of children or defiance of children? Difficulty relating to others outside the immediate family? Other concerns? N/A Cadence International has a stringent Child Safety Policy which states that "anyone who is known or concluded to have committed sexual abuse of a child under the age of 18 at any time during his/her adult life should not be eligible for service".To your knowledge, has the applicant ever used narcotics, hallucinogens, or drugs not prescribed by a physician?*--Select--YesNoDo you have any concerns about the applicant's ability to interact safely with children?*--Select--YesNoWhat are some areas where the applicant has been successful in their endeavors?*What are some areas where the applicant has struggled?Have you ever had occasion to question the applicant's morals and/or ethics?*--Select--YesNoIf the answer to the previous question was Yes, please elaborate.*What would you consider the applicant's greatest strength(s)?*What would you consider the applicant's greatest weakness(es)?*Is there anything that would cause you to lack confidence in this applicant's ability to serve on the mission field?*--Select--YesNoHow does the applicant respond to authority?*What is the applicant's attitude toward the military and/or military service men and women?*In what ways have you observed the applicant demonstrating the Biblical principles of using their time, talents, and resources to love and invest in others, especially within their home?*How would you rate the applicant's ability to formulate, execute and carry plans to conclusion?*Not ObservedPoorBelow AvgAverageAbove AverageExcellentHow would you rate the applicant's level of self-discipline?*Not ObservedPoorBelow AvgAverageAbove AverageExcellentHow would you rate the applicant's willingness to accept instruction?*Not ObservedPoorBelow AvgAverageAbove AverageExcellentHow would you rate the applicant's ability to adapt to situations?*Not ObservedPoorBelow AvgAverageAbove AverageExcellentHow would you rate the applicant's perseverance?*Not ObservedPoorBelow AvgAverageAbove AverageExcellentHow would you rate the applicant's punctuality?*Not ObservedPoorBelow AvgAverageAbove AverageExcellentHow would you rate the applicant's conscientiousness?*Not ObservedPoorBelow AvgAverageAbove AverageExcellentHow would you rate the applicant's level of common sense & judgement?*Not ObservedPoorBelow AvgAverageAbove AverageExcellentHow would you rate the applicant's level of dependability, integrity and trustworthiness?*Not ObservedPoorBelow AvgAverageAbove AverageExcellentHow would you rate the applicant's overall physical health?*Not ObservedPoorBelow AvgAverageAbove AverageExcellentHow would you rate the applicant's emotional stability?*Not ObservedPoorBelow AvgAverageAbove AverageExcellentHow would you rate the applicant's marital harmony? If unmarried, how would you rate the applicant's display of healthy relating to other significant relationships?*Not Observed/NAPoorBelow AvgAverageAbove AverageExcellentHow would you rate the applicant's Biblical knowledge?*Not ObservedPoorBelow AvgAverageAbove AverageExcellentHow would you rate the applicant's commitment to furthering the gospel (evangelism)?*Not ObservedPoorBelow AvgAverageAbove AverageExcellentHow would you rate the applicant's desire for Christian growth?*Not ObservedPoorBelow AvgAverageAbove AverageExcellentHow would you rate the applicant's leadership qualities?*Not ObservedPoorBelow AvgAverageAbove AverageExcellentHow would you rate the applicant's tactfulness?*Not ObservedPoorBelow AvgAverageAbove AverageExcellentHow would you rate the applicant's ability to communicate effectively?*Not ObservedPoorBelow AvgAverageAbove AverageExcellentHow would you rate the applicant's ability to take initiative?*Not ObservedPoorBelow AvgAverageAbove AverageExcellentHow would you rate the applicant's ability with personal finances?*Not ObservedPoorBelow AvgAverageAbove AverageExcellentHow would you rate the applicant's sensitivity to others?*Not ObservedPoorBelow AvgAverageAbove AverageExcellentHow often does the applicant procrastinate?*Not ObservedOftenAverageRarelyNeverHow often is the applicant critical of situations or others?*Not ObservedOftenAverageRarelyNeverHow often does the applicant become irritable?*Not ObservedOftenAverageRarelyNeverHow often does the applicant become discouraged?*Not ObservedOftenAverageRarelyNeverIs the applicant prone to anxiety or worry?*Not ObservedOftenAverageRarelyNeverHow argumentative is the applicant?*Not ObservedOftenAverageRarelyNeverDoes the applicant display a domineering manner/arrogance?*Not ObservedOftenAverageRarelyNeverPlease state your opinion of the applicant's ability for Christian service, adding any information not brought out by preceding questions*Do you attest that everything you have said and checked in this reference is true to the best of your knowledge?*--Select--YesNoElectronic Signature*I consent to my submitted data being collected and stored by Cadence* Yes Date* MM slash DD slash YYYY CAPTCHA