Mercy for Mamas2020 Personal Reference Form

2020 Personal Reference Form

This form is a reference form for someone that has applied to be a part of the 2020 Mercy for Mamas Mission Team to Uganda. This is to be completed by someone not related to the applicant that can adequately attest to the applicant's character, work ethic, and general personality.

Name of Trip Applicant*
Name of Reference and their title/position*
Note about this Form
The above applicant has applied to travel with Mercy for Mamas to Uganda in July 2020 to do short-term mission work. It is important to us to obtain objective information about the applicant and his/her character and abilities. We appreciate honest and candid answers. All information remains confidential. Questions or prefer to talk on the phone? Feel free to contact the Mercy for Mamas Director, Melissa Busby, at info@mercyformamas.com or call at 316-737-3582.
How long have you known the applicant and in what capacity?*
Do you have any concerns (physically, mentally, morally, spiritually) about his/her abilities to serve on this trip? If yes, please explain.*
Skills/Gifts*
People don't like to brag on themselves and often don't think to tell us of all of their abilities and skills they can offer. What talents, abilities, or skills do you see that he/she can offer to our team? Some examples you might not think of: counseling, crafting, worship, teaching, organization, good with children, etc.
What do you see as being one of the applicant's best qualities?*
Do you see the applicant as more of a leader or a follower? Why?*
Adaptability*
How well do you think she/he can adapt in situations where things do not go as scheduled and may involve a lot of flexibility with plans?
What area do you think will be the hardest aspect of this trip for the applicant?*
Examples: leaving family at home, adjusting to a new culture, stepping out as a leader, working with new people, frustration at having things out of her control, etc.
Do you anticipate any issues with the applicant serving in a cross-cultural environment?*
Any other thoughts, concerns, insight into the applicant for this trip?
How would you rate your recommendation of this person for the Mercy for Mamas trip?*
- Strongly Recommend
- Recommend
- Recommend with Reservations
- Do no recommend
Additional Reference
Is there anyone else you feel it would be helpful to talk to regarding the applicant and their ability to serve? Is yes, please provide their contact info (phone or email)
Contact Information
May we contact you if we have any further questions? If yes, please list your phone number/email and best time to contact you.
Confirmation*
I confirm that the information in this form is true to the best of my knowledge.
Signature*

Save and Continue Later

2020 Personal Reference Form

2020 Personal Reference Form

Note about this Form

Sign Up