Please answer these questions honestly and to the best of your knowledge. any information that you give us is confidential and will help us serve the applicant better when they come to the school.

Confidential Reference Form

Applicant's Info

Applicant's Name

Applicant's Phone

Program Applying For

Reference Info

Full Name

Phone Number

Email Address

Personal Address

What is Your Relationship To The Applicant?

How Well Do You Know The Applicant?

How Long Have You Known The Applicant?

Ability To Receive Correction

Ability To Make Decisions

Concern For Others


Emotional Stability


Self Confidence

Ability To Follow

Willingess to Serve

Communication Skills

Personal Hygiene

Additional Comments

Mental Ability





Christian Character


Financial Responsibility

Additional Comments

Which Of The Following Best Describes The Applicant's Christian Experience?


With Reference To His/Her Christian Service is He/She


What do you feel the applicants motives are in applying to this program?

Additional Comments

Please Comment On Applicant's Family Background

What do you think are the applicant's strong points (include special abilities)?

Please add any other pertinent remarks (i.e. medical, psychological, drug abuse, criminal record, homosexual or occult practices, ect.)

What could YWAM do to aid the applicant's personal development?

Is your congregation/group standing behind the applicants with enthusiasm and prayer? (Pastors Only)

Will you recommend the applicants acceptance into this YWAM program?