Youth Intern Recommendation Please allow yourself plenty of time to complete this form. Your answers to these questions will remain confidential. Applicant's Name* Your Name First Last Your Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Your Phone*FaxEmail* May we contact you?YesNoHow long have you known the applicant, and in what capacity?Have you observed him/her with minors? If so, in what situations?How do you feel about his/her emotional and physical ability to handle the responsibilities involved in providing care of minors?What particular skills does he/she have in dealing with minors?Do you have any concerns about his/her ability to provide care to minors? If so, explain.Do you know of any conditions making this applicant unsuitable for working with minors? If so, please describe.Additional Comments:RatingPlease rate the candidate with respect to each of the characteristics listed below by checking the appropriate boxes. Check N/A for items which you feel you have not had the opportunity to observe. Please feel free to check more than one as well as add any appropriate characteristic.Initiative Anticipates upcoming needs and acts on them Works independently Needs supervision Needs constant supervision n/a Other comments on Initiative:Responsiveness to Needs/Concerns One of the most compassionate people I know Concerned about others Average Mostly self-centered Shows no concern for others n/a Teamwork Great team person Good at working on teams Average Not good at working on teams Totally isolates self when working on teams n/a Other comments on teamwork:Sense of humor Hilarious Fun to be around Rarely laughs or causes others to laugh Sarcastic Inappropriate n/a Other comments on sense of humor:Interpersonal Skills Outgoing Endearing Pleasant, people enjoy having them around Average Awkward, makes people uncomfortable Overbearing n/a Other comments on interpersonal skills:Response to correction Teachable Humble Apologetic Agrees to change, but doesn't Stubborn Defensive Defiant n/a Other comments on response to correction:Leadership Abilities An exceptional, natural leader Talented leader Can lead when asked Mostly a follower Avoids leadership n/a Other comments on leadership abilities:Discernment in Ministry Thoughtful and responsible Overly Cautious Careless Easily Swayed n/a Other comments on discernment in ministry:Do you recommend this applicant?yesnoNameThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.