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CHILD EVANGELISM FELLOWSHIP®

To Whom It May Concern:

The applicant has applied for admission to the Children's Ministries Institute® and has requested that you
give a recommendation.

A personal recommendation gives insight into a person that would be very helpful in determining the
person’s ability to handle the long hours and heavy workload in the classroom as well as handling
relationships outside of the classroom. Please be candid and objective.

There are three ways you can submit this reference form.

1. Email - Fill out the form and email it to Admissions following the instructions below. (Note: When
you type your name into the signature line, it serves as an electronic signature.)

a. Before filling out the form, save the attached file as “CMI Reference Form student’s name”
on your computer. (ex - “CMI Reference Form Sarah Brown”)
b. Open the file in Microsoft Word and fill it out.
c. Save the changes.
d. Then attach this new file and email it to Admissions at cmiapplications@cefonline.com with
a subject line of “CMI Reference Form.”

2. Fax - Print the form and fill it out. Fax the completed form to Admissions at 636-456-4435.

3. Mail - Print the form and fill it out. Mail the completed form to

Admissions
PO Box 348
Warrenton MO 63383

If you have questions, call Admissions at 636-456-4321 or 1-800-300-4033. Thank you for your time
and input!

Sincerely,

Admissions Team
 Children’s Ministries Institute® Reference
CEF® Worker or Ministry Supervisor (cannot be a relative)

Applicant’s Full Name:      
              
               
               
               
               
• How long have you known the applicant?       In what relationship?      
• How well do you know the applicant? (Choose one)  Casually  Well       Very Well
• Is there any reason known to you why the applicant should not work with children? (Choose one)
 No  Yes If yes, please comment      
• Applicant’s relationship with others generally (Choose one)  
 Poor  Fair     Good  Very Good  Excellent
• What is the applicant’s attitude toward authority? (Choose one)  
 Poor  Fair     Good  Very Good  Excellent
• When asked to follow direction from God­ordained authorities, this applicant generally responds with (Choose one)
 
       Respectful Obedience  Outward compliance with a negative attitude  Willful noncompliance
• What are the applicant’s strong points? (include special abilities)       
• What are the applicant’s weaknesses?      
• What is the applicant’s general outlook? (Choose one) 
 Negative  Neg/Pos  Pos/Neg  Positive
• Has the applicant been active in the church?       
If so, in what capacities?      
• Does the applicant work well with others? (Choose one)  Yes  No
    If no, please comment       
• How teachable is the applicant? (Choose one)
Poor Fair Good Very Good Excellent
   Please comment      
• How do you rate the applicant’s leadership ability? (Choose one) 
 Poor  Fair  Good  Very Good  
Excellent
• Is the applicant dependable? (Choose one)
    No  Sometimes  Usually  Yes 
• How would you rate the applicant’s standards for Christian living? (Choose one) 
 Poor  Fair  Good  Very Good    
Excellent

• If you were asked to have this applicant as a co­worker for several years, how would you respond?      
• How do you rate this applicant’s potential in ministry? (Choose one)
 Limited  Average  Good  Superior
• Would you recommend that we accept this applicant? (Choose one)  
 No  Questionable Yes
Further comments:      

(continued on page 2)
 Not Poor Below Avg. Above Excel- COMMENTS
CHARACTER TRAIT EVALUATION Known Avg. Avg. lent

SOCIAL MATURITY
Ability to communicate      
Ability to develop relationships      
Attitude in confrontation      
Tactfulness/sensitivity      
LEADERSHIP MATURITY
Drive/Initiative      
Mental Alertness      
SPIRITUAL MATURITY
Consistent spiritual walk      
Knowledge of the Bible      
Sense of call or mission      
Submission to authority      
EMOTIONAL MATURITY
Self-image (esteem)      
Freedom from worry, anxiety      
Relationship with opposite sex      
Marital harmony (if applicable)      
PERSONAL MATURITY
Self-discipline      
Conscientiousness      
Perseverance      
Common sense and judgment      
Flexibility      
Decisiveness/follow through      
Servant's attitude      

Is there anything that you know of in the applicant’s past that would cause you to question his/her ability to work with
children or have a healthy relationship with children? No Yes
Comments:     

Is there anything that you know of that would bring to mind any questions concerning children being entrusted to his/her
care? No Yes
Comments:      

Date:       Signature:      

(On electronic forms, your typed signature carries the same weight as your written signature.)

Address:      
Primary Telephone (     )      -      May we call you if we have questions? Yes No
Ministry Worker Position:      
Email, mail or fax this reference without delay directly to: Admissions Phone: (636) 456-4321
P.O. Box 348 Email: cmiapplications@cefonline.com
Warrenton, MO 63383 Fax: (636) 456-4435