Life and Leadership Training Reference Form

Contact Information
Please tell us a little about yourself.
Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Email*
Phone*
Applicant Information
Please tell us about the person you are filling this out on behalf of.
Applicant Name*
First Last
Which Youth Dynamics location is the applicant applying for?*
What is your relationship to the applicant?*
- Pastor / Christian Leader
- Employer
- Parent / Guardian
- Friend / Co-worker
- Spouse
How long have you known the applicant?*
In what capacity is your relationship to the applicant?
Short Answer Responses
Your honest appraisal will assist in evaluating the applicant's qualifications and abilities.
The internship involves a lot of time spent serving others, often without immediate gratification from those being served. Have you observed the applicant in a role like this before? If so, how did they do? If not, how do you expect they would do?*
This internship requires individuals on our team to live in close quarters, with people they’ve never met before. This requires respect, amiability, flexibility, and an ability to address and resolve conflict effectively. How do you expect the applicant will do in such an environment? Why?*
What does it take to meet the physical and emotional needs of the applicant? Are there any needs you think we should be particularly aware of?*

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Contact Information