Online Personal Reference Form

In our consideration of students to serve in the Summer Missions Team during the approaching
summer, we would appreciate your input regarding the student indicated above. Please take a few
minutes to answer each question carefully and honestly. Please rate the applicant by checking one or
more items under each of the headings below.

Do not rate areas in which you are uncertain or have not
had an opportunity to observe.

Additional comments or explanation of your rating is appreciated.