Seminary - Pastoral Reference Form Name of Applicant* First Last The applicant is seeking entrance to the Canadian Southern Baptist Seminary and would appreciate your submission of this form evaluating them as a person and their potential for ministry. Since all concerned are seeking God’s will in this matter please be as frank as possible. PLEASE BE ASSURED THIS FORM WILL BE HELD IN CONFIDENCE. How long have you known the applicant?*What is your relationship to the applicant?*Evaluate the applicant by marking all descriptions that apply. Please click "additional comments" for any weak responses or for further comments you feel would be helpful.Intellectual Capacity* Brilliant Learns quickly Good thinker Original Learns with reasonable application Learns slowly Unable to observe Additional comments Additional CommentsSpiritual Life* Evidently a priority Contagious Growing Genuine Needs enrichment Superficial Stagnant Unable to observe Additional comments Additional CommentsInitiative and Perseverance* Persevering hard worker Self-motivated Thorough Fulfills average expectations Requires prodding Lacks initiative Unable to observe Additional comments Additional CommentsReliability* Thoroughly reliable Trustworthy Normally fulfills obligations Requires supervision Works in spurts Lacks reliability & responsibility Unable to observe Additional comments Additional CommentsSeriousness of Purpose* Clearly defined goals Purposeful Generally defined objectives Uncertain as to goals Vacillating Demonstrates lack of purpose Unable to observe Additional comments Additional CommentsAttitude Toward Authority* Respectful of those in authority Critical Has difficulty with authority Challenges authority Disrespectful Unable to observe Additional comments Additional CommentsLeadership Skills* Respectful of those in authority Spontaneous leader Leadership potential developing Leadership potential needs development Makes no effort to lead Dependent upon support of others Lacks leadership skills Unable to observe Additional comments Additional CommentsCooperation* Works well with others Usually cooperative Cooperative when convenient Prefers to work alone Causes friction Manipulative Unable to observe Additional comments Additional CommentsSocial Maturity* Exceptionally good judgment Has self-confidence Self-conscious Poor sense of values Irresponsible Unable to observe Additional comments Additional CommentsRelationships* Outgoing Friendly Warm Shy Cautious Relates well to other gender Relates well to other ethnic groups Reserved Cold Loner Antisocial Domineering Unable to observe Additional comments Additional CommentsEmotions* Handles stress well Emotionally stable Generally able to handle difficult situations Moody Suppresses emotions Expresses emotions inappropriately Unable to observe Additional comments Additional CommentsGeneral Health* Vigorous health Average health Frequently ill Unable to observe Additional comments Additional CommentsFinancial Intergrity* Demonstrates excellent financial responsibility Proper utilization of money Generally satisfactory Unsatisfactory Pattern of dependency/asking for help Unable to observe Additional comments Additional CommentsIn the Local Church* Positive leadership role Actively involved Attends church activities regularly Supportive member Attends activities frequently Attends activities sporadically Often causes dissension Unable to observe Additional comments Additional CommentsSpouse* No spouse Supportive of applicant’s ministry Actively involved in personal ministry Not supportive of applicant’s ministry potential Unable to observe Additional comments Additional CommentsBriefly describe the applicant’s leadership in your church during the past three years and his/her effectiveness in those roles.*Does the applicant have any personal habits or prejudices that might hinder effective Christian work?*Would you recommend this person to a ministry-related position at your church upon completion of training at CSBS?*YesNoPlease expand:Do you recommend the applicant for admission to CSBS?*With enthusiasmWith some reservationsWith confidenceWith ReluctanceI do NOT recommendYour Name* First Last Your Phone Number*Church Name*Church Phone Number*Address* Street Address City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and 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ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Declaration* I declare that all of the above is true and a clear representation of the applicant.PhoneThis field is for validation purposes and should be left unchanged.