Reference Check Form

Name of Applicant:

Name of Reference:

Relationship to the Applicant:

Telephone number of Reference:

Email of Reference:

1. How would you rate the applicant’s preaching ability?

Excellent Good Fair Poor Cannot Assess

2. How would you rate the applicant’s pastoral ability?

Excellent Good Fair Poor Cannot Assess

3. How would you rate the applicant’s counseling ability?

Excellent Good Fair Poor Cannot Assess

4. How would you rate the applicant’s administrative ability?

Excellent Good Fair Poor Cannot Assess

5. Please rate the applicant’s personal relationship skills:

Excellent Good Fair Poor Cannot Assess

6. Please rate the applicant’s communication skills:

Excellent Good Fair Poor Cannot Assess

7. Please rate the applicant’s ability in the following roles: (5 the strongest, 1 the weakest):

Preacher Pastor Counselor Administrator

8. In what ways have you been especially blessed by the applicant?

9. Other comments or information you would like to share regarding the applicant.