Pastor’s Reference FormReference #1

1 | Page

Dear Applicant,

Please give this reference form to your Church Pastor, after filling out your name and course that you are applying for and other relevant details as requested.Your Pastor should then complete this reference form and send it directly to us at the following address: If sending by ‘snail mail’ (post), please send it to:

Postal address:Street address

RegistrarRegistrar

(School name/ Dept.) (School name/ Dept.)

C/o Asha Seva KendraAsha Seva Kendra

Post Box No.27H – 58, Old Khandala Road

Lonavala, Pin – 410 401Lonavala (Pune Dist.) - 410401

Maharashtra, INDIAMS, INDIA

Our e-mail address is:

1 | Page

Name of Applicant:
School applying for: / School start date:

DEAR PASTOR,

Greetings from U of N Pune@ Lonavala!U of N is ‘University of the Nations’, part of the interdenominational missions movement, Youth With A Mission (YWAM). The above applicanthas applied for admission to the above mentioned school / course run at U of N Pune @ Lonavala. Hopefully he/she has had the chance to talk to you about why he/she wants to take this step in his/her life. In order for us to process his/her application, we need you to complete this reference form prayerfully as accurately and carefully as possible. We truly appreciate the time you give to send us your insights on the applicant. We will be giving serious consideration to your answers and comments. To help the applicant, please make additional comments, on a separate sheet, if necessary.Acceptance of the applicant is not based solely on references. This form is treated confidentially and will not be seen by the applicant.Thank you for your time in filling this out. - Registrar (U of N Pune@ Lonavala)

Your Name: / Position / Title:
Telephone: / Fax:
Church Name:
Church Address:
Email:
For how long have you known the applicant?
MonthsYears
How well do you know the applicant? (please circle) / Very well / Well / Casually
Has the applicant received Jesus Christ as his/her Lord and Saviour and experienced a change of life? / Yes/No If Yes, when and if No, please comment:
How well can the applicant communicate in English? (please circle) /
  • Reading - (None) 0 2 3 4 5 (Excellent)
  • Writing -(None) 0 2 3 4 5 (Excellent)
  • Speaking -(None) 0 2 3 4 5 (Excellent)

Does this person become easily angry with others? / Yes / NoPlease comment:
Is the applicant, now or has ever used the following? (Circle) / Tobacco - Yes / No Please comment:
Alcohol - Yes / No
Drugs - Yes / No
Is there a Christian leader or family member who does not want the applicant to undergo this training program with U of N Pune @ Lonavala? / Yes / NoIf yes, please comment:
Is the applicant active in the local church? / Yes, very active / Somewhat active / Not active (Circle one)
Describe the applicant’s overall Christian service: / Dedicated / Average / Casual (Circle one)
Please comment briefly on the
parents’ occupation, religion & social background:
Does the applicant show proper RESPECT towards the opposite sex? / Yes / NoAny comment?
Has the applicant suffered from any psychiatric or mental disorders? / Yes / NoAny comment?
Do you feel the applicant currently needs counseling in any significant area? / Yes / NoAny comment?
How do you think U of N Pune @ Lonavala can aid the applicant’s personal spiritual development?
In your opinion, what is the applicant’s motive in applying for this U of N Course?
Does the applicant have a long term call and commitment to ministry?
What expectation do you have for the applicant from the school?
Is your church willing to pray for the applicant, while participating in this course? / Yes / NoAny comment?
Is your church willing to support the applicant financially while does trainingwith the U of N? / Yes / NoAny comment?

For each characteristic listed below rate the applicant on the following basis:

Excellent = 5 Good = 4 Average = 3 Below Average = 2 Poor = 1 Unknown (or) don’t know = U

CHARACTERISTIC / Your Rating /

COMMENTS, if any

Initiative
Concern for others
Ability to follow
Leadership
Judgment / Decision making
Emotional stability
General health
Personal grooming
Understanding
Ability to work hard
Reliability
Co-operation
Flexibility
Christian character
Punctuality
Financial responsibility
Would you recommend the applicant for acceptance by
U of N Pune @ Lonavala? / Yes, without hesitation.
Yes, with some hesitation. (Please explain) :
I have serious hesitation. (Please explain):

Your Signature: ______Date: ______/______/20______

Would you like more information about the UofN Pune @ Lonavala?

If so, please visit our website: or

Thank you very much for your evaluation – we value your thoughts & suggestions.May God bless you!

1 | Page