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2008 Confidential Reference Form


Relationship: Pastor Family Member Other Adult


Staff Applicant          Position:


How long have you known the applicant?


The above named person has applied for a position at Delta Lake Bible Conference Center. Delta Lake is a Christian Camp whose primary goal is ministering to the Spiritual needs of each individual camper. The role of every staff member is vital in that ministry. In that light, please evaluate the candidate appropriately. Thank you for your response.


Directions: Click next to the symbol (+ = Favorable, 0 = Average, - = Unfavorable) next to each item


Leadership Skills + 0 -

Spiritual Motivation + 0 -  

Discretion with Opposite Sex + 0 -

Emotional Stability + 0 -  

Maturity + 0 -  

Integrity/ Honesty + 0 -

Modesty + 0 -  

Concern for Others + 0 -  

Social Skills + 0 -

Respect for Authority + 0 -  

Judgment/Discernment + 0 -  

Self Image + 0 -


Regular Attendance: 

SS Yes No  

AM Yes No  

PM Yes No  

Youth Yes No  

Prayer Meeting Yes No  

Other:  


Directions: Please answer the following questions completely, to the best of your ability. 


1. To your knowledge has the applicant made a personal commitment to Jesus Christ, and on 

what evidence do you base your conclusion?

2. Are there any habits or issues about the applicant which may hinder his or her involvement

at Delta Lake Bible Conference Center?


3. What factors in the applicant’s home life would hinder or encourage his or her involvement at Delta Lake?



4. Describe how the applicant has grown/matured in the past two years spiritually, emotionally, and socially.



5. What are the applicant’s talents and strengths (art, drama, music, athletics, etc.) and how has he/she 

applied them to church, community, and school?



6. Has the applicant demonstrated leadership skills, works in a leadership position, or is being considered

for a leadership position within the church he/she attends. If yes, please explain. If not, why not?





On the bases of my knowledge of this applicant, he/she is (click one):


Recommended with confidence  

Recommended with some reservations  

Not recommended



Typed Signature Date
Relationship

Phone ( )   E-mail address:





Copyright (C) 2008 Delta Lake Bible Conference Center

Any Questions, Concerns, or Feedback may be sent to Delta Lake Administration.