Trauma Healing Reference Form

Name of person (First and Last) for whom you are providing a reference*

Your Name*

Please provide both First and Last Name

Your email address*

Your phone number*

Phone

Church, Ministry or Organization Name*

Church/Ministry Contact Information*

Please provide the complete address of the Church / Ministry Organization along with a phone number.

Your role/position in your Church or Ministry Organization*

Select

How many years have you known the applicant?*

How well known?*

Just by name

A few personal contacts

Fairly well

Close, on-going relationship

Is the Applicant a Believer?*

To the best of your knowledge, has the applicant been born again by faith in Jesus Christ?

Select

Church/Ministry Involvement*

Irregular attendance/Little interest

Seldom participates, but is a regular attender

Cooperative and usually willing to help

Enthusiastically engages

No knowledge of applicant's involvement in church/ministry

Section 2: Areas of gifting and service in ministry, based on your opinion or observation:

Select (one or more) to any of the areas of service in which the applicant has been regularly active at church:

Spiritual Gifts*

What spiritual gifts and/or special abilities has the applicant demonstrated?

Leadership Abilities*

Describe any other leadership abilities the applicant has demonstrated in the church or ministry:

TUMI Trauma Healing facilitators need to demonstrate maturity at the level of biblical eldership. Please comment on the five areas that are critical to this standard in our context:

Personal Character and Godliness*

Respect of Leadership*

Doctrinal Preparation/credentials*

Financial Integrity*

Administrative Ability*

Section 3: Applicant's Character

In comparison with other members of your church/ministry/organization, how would you rate this person in the following areas?

Is the applicant’s overall character such that you would be confident in recommending him/her to lead others?*

Yes

No

Recommendation Comments

Are you supportive?*

The applicant was instructed to talk to you about his/her desire to supervise Christian leadership training as a Satellite Coordinator. Are you supportive of this desire?

Yes

No

Comments regarding your support for the applicant?

Section 4: General Comments / Signature

Any other comments you would like to provide?

Type your Full Name*

By providing your full name, you are agreeing that all information is accurate to the best of your knowledge.

Send me a copy of my responses