Reference Form Thank you for your willingness to contribute to our ACTS application process. If you have any questions, feel free to reach out to our team Reference Form Name of Applicant First Name * Last Name * To the person filling out this form: The above applicant has applied for participation in the Antioch Christian Training School (ACTS), a program sponsored by Great Commandments Ministries. GCM, founded in 1994, is an international, interdenominational, Christian missions organization. Serious consideration will be given to your comments, so we greatly appreciate your careful and thoughtful completion of this form. All evaluations are kept in strict confidence and will not be shown to the applicant. Your early response (within 7 days) is most appreciated. Thank you for your assistance! What is your relationship to the applicant? * Employer Teacher Pastor Friend Other Please specify: * How well do you know the applicant? * Very well Fairly well Casually How long have you known the applicant? * years - months Multiple Choice Please check the following and comment as necessary in the space provided below. Ability to receive correction: * Superior Above Average Average Below Average Please Explain: * Self-confidence: * Superior Above Average Average Below Average Please Explain * Ability to make decisions: * Superior Above Average Average Below Average Please Explain * Social poise: * Superior Above Average Average Below Average Please Explain * Concern for others: * Superior Above Average Average Below Average Please Explain * Ability to follow: * Superior Above Average Average Below Average Please Explain * Leadership: * Superior Above Average Average Below Average Please Explain * Willingness to serve: * Superior Above Average Average Below Average Please Explain * Emotional stability: * Superior Above Average Average Below Average Please Explain * Communication skills: * Superior Above Average Average Below Average Please Explain * Health: * Superior Above Average Average Below Average Please Explain * Personal hygiene: * Superior Above Average Average Below Average Please Explain * For the following, please check the answer that fits best. Mental ability: * Quick to comprehend Average Slow Industry: * Hard worker Average Lacks Persistence Reliability: * Meets obligations Average Neglects obligations Teamwork: * Works well with others Average Often causes friction Flexibility: * Open to change Average Unyielding Christian character: * Well balanced Average Unstable Disposition: * Cheerful Average Passive Punctuality: * Punctual Average Often late Financial responsibility: * Honors obligations Average Neglectful Comments: * Supplemental Questions: 1. Which of the following would best describe the applicant’s Christian experience? * Mature Contagious Genuine & Growing Over-emotional Superficial Comments: 2. With reference to Christian service, the applicant is: * Dedicated Average Casual Comments: 3. Does he/she display high moral standards? * Yes No Comments: 4. What do you believe are the applicant’s motives in applying for this program? Check one or more boxes. * Christian service Desire to spread the Gospel Receive help/ministry Find God's direction Desire to help others Escape an unpleasant home situation Other Please explain: 5. Please comment on the applicant's family background. * 6. What do you consider to be the applicant’s strong points? (include special abilities) * 7. What are the applicant's weaknesses? * 8. What could GCM do to aid in the applicant’s personal development? * 9. (Pastors Only) Does your congregation/group stand behind the applicant with enthusiasm and prayer? 10. Do you recommend the applicant for acceptance to this GCM program? * Yes With some reservations No Explain: Signature * Clear Your Name * Date * Address * Address Address Address City City State/Province State/Province Zip/Postal Zip/Postal Country Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Bulgaria Burkina Faso Burundi Côte d'Ivoire Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Croatia Cuba Curacao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Barthelemy Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch part) Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Korea South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Country Phone * Email * reCAPTCHA Submit