16th LLWWEMA Nepal Short-Term Mission Reference Form

Name of the applicant: ______is under the consideration to join the Christian ministry of the 16th LLWWEMA Nepal Short Term Mission. Your candid and honest evaluation of this applicant is greatly appreciated. This information will be kept confidential. Please circle along the scale and make comment where you feel the applicant is best described. PLEASE RETURN THE COMPLETE REFERENCE FORM DIRECTLY TO

16th LLWWEMA Committee (Deacon James H Liao)

Bread of Life Church

2780 Lomita Blvd

Torrance, CA 90505

Date ______

Name of the Reference Person

Relationship with the Applicant ………………………………………………………………………..

Reference Person's Address

Telephone (Home) ______Telephone (Day)

E-Mail Address ______

DO NOT RETURN THIS FORM TO THE APPLICANT!

A 1 would mean the lowest possible score and a 10 would mean the best possible score.

1. Christian faith experience (his/her walk with God)

No Knowledge 1 2 3 4 5 6 7 8 9 10

2. Spiritual maturity

No Knowledge 1 2 3 4 5 6 7 8 9 10

3. Good use and understanding of Bible

No Knowledge 1 2 3 4 5 6 7 8 9 10

4. Relationship with the church (ministry involvement, etc.)

No Knowledge 1 2 3 4 5 6 7 8 9 10

5. Relationship with his/her family

No Knowledge 1 2 3 4 5 6 7 8 9 10

6. Personality (Good attitude toward himself/herself as well as others)

No Knowledge 1 2 3 4 5 6 7 8 9 10

7. A team player

No Knowledge 1 2 3 4 5 6 7 8 9 10

8. Reaction in stressful situations

No Knowledge 1 2 3 4 5 6 7 8 9 10

9. Strength and weakness

10. A good fit for this short-term mission

No Knowledge 1 2 3 4 5 6 7 8 9 10