The person who supplied you with this link has applied for a position with our short-term missions program, and s/he has listed you as a reference. If you are a family member or spouse, you cannot serve as a reference. Completing the following form will assist us in evaluating the applicant’s qualifications. Skip over any items that may be outside your range of knowledge. We are grateful for your cooperation and will treat your reply confidentially.  Clicking the submit button after completing the form will return it directly to Christian Veterinary Mission by email ( You may also download the form, complete it and fax (206-546-7458) or send by mail to CVM, ATTN: STM office, 19303 Fremont Ave. N, Seattle, WA 98133. If you have any questions, please contact the Short-term Coordinator at or call 206-546-7472.

STM References


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Work Environment

If you have any other comments or concerns you would like to discuss with us, or if you would like to know more about CVM, please feel free to call at any time.


Social Evaluation

Spiritual Evaluation

Physical and Emotional Evaluation

Intellectual Evaluation

Practical Evaluation

Negative Traits Evaluation


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