Missionary Applicant Reference Form

ARIZONA VOLUNTEER MISSIONS (AVM)

Date:

Name of Reference:

Address of Reference

Arizona Volunteer Missions (AVM) is a plan of the Arizona Southern Baptist Convention to place adult self-funded missionaries who serve full time in missions and evangelism ministries through the Arizona Southern Baptist Convention.

The Arizona Volunteer Missions does not provide salary or financial support for Arizona Volunteer Missions persons.

The person listed has given your name as a reference on his or her Arizona Volunteer Missions application. Please complete this Reference Form to provide information about the applicant. All information will be held in complete confidence.

You may submit this form electronically to , fax it directly to the Missionary Mobilization Team at the Arizona Southern Baptist Convention (480-945-5355), Attn: Lasey. Or, you may mail it to: Clint and Carol Smith, 134 W. Alyssa Canyon Place, Tucson,

AZ 85755.

Thank you for your assistance.

Name of AVM Applicant:

  1. How long have you been closely associated with the applicant?
  2. Is this person actively involved in positive Christian living?
  3. Will the person adjust well in a different cultural environment?
  4. Can the person manage finances under pressure?
  5. Does the person have any objectionable habits?

If yes, please explain:

  1. Estimate the person’s ability professionally: (Please Circle One)

Superior Above Average Average Below Average

Page 2

  1. Do you consider the applicant:

Argumentative Yes NoIrritating Yes No

Domineering Yes NoNervous Yes No

Critical of Others Yes NoFrequently Worried Yes No

Prejudiced Yes NoPossessive Yes No

Arrogant Yes NoFrequently Anxious/Tense Yes No

Easily Embarrassed Yes No

Easily Discouraged Yes No

  1. Is there anything in the applicant’s life that if made known would be an embarrassment to AVM mission work? If so, explain:
  1. Rate the applicant with respect to each of the listed qualifications. Compare the applicant with others who are active in church. Do not check if you have not observed or if you are uncertain.

Qualification / Superior / Above Average / Average / Below Average
Leadership
Teamwork
Cooperation
Intelligence
Personal appearance
Dependability
Social acceptance
Sense of humor
Emotional stability
Effectiveness in church leadership positions

9. Please give additional facts or comments concerning the applicant.

10.If you were making the decision, would you assign this person as a Arizona Volunteer

Missions Missionary? Yes No

Additional Comments:

Signature: Date:

(If submitted electronically, typing your full legal name will constitute your legal signature)