This applicant has applied for a position with our short-term missions program. You are receiving this form because s/ he has listed you as a reference. We are asking you to please assist us in evaluating the applicant’s qualifications by completing the following form. Pass over any items that may be outside your range of knowledge. If you are a family member or spouse, you cannot serve as a reference. We are grateful for your cooperation and will treat your reply confidentially. This reference form should be returned directly to Christian Veterinary Mission by email (shortterm@cvmusa.org,) fax (206-546-7458) or post mail. If you have any questions, please contact the Short-term Coordinator at shortterm@cvmusa.org or call 206-546-7472.

STM References

Intro


Contact Info













Questions

Background


Assessment






Assessment





Faith




Faith





Preparedness




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.

Evaluations

Social Evaluation














Spiritual Evaluation








Physical and Emotional Evaluation






Intellectual Evaluation












Practical Evaluation

















Negative Traits Evaluation























Summary


Thank you for your time in completing this form!