Calvary Church - DrinkANDFlow

Welcome to the 2010 Mission Trip Online Reference Form for General References. This should be completed by a person who has had some form of authority over the applicant other than their parents (teacher, boss, MPACT/small group leader, etc.).

Please fill in all boxes and double check that all information is correct before submitting this form.
You may hit Tab to select the next box, or Shift+Tab to go back one box.

Trip Applied For: WayumiPhillyNYGONY Next LevelDominican RepublicC4 NY

Applicant's Name:

Personal Information

Your Name:

Phone:

Email:

Address:

Church (if applicable):


Please Answer the Following Questions:

1. I know this individual Very wellModerately wellCasually

2. I have known this individual for Less than 1 Year1-2 Years3-5 YearsGreater than 5 Years

3. Please describe your relationship with the applicant:

4. Please evaluate the applicant in each of the following areas by selecting the number that best correlates (5=Great, 1=Needs improvement):

5. What are the strengths of this applicant which might help his/her team before or during this project?

6. What are any weaknesses of this applicant which might hinder his/her team before or during this project?

7. Are there any other aspects we should be aware of from your perspective?


Thank you for filling out a reference for the 2010 Student Mission Trips.

I (Your Name) , agree that all of the information here is correct. I do, hereby, acknowledge that filling out this form does not guarantee the above student's involvement on any Calvary Mission Trip, but filling out this reference form does get them one step closer. All information in this form is truthfully and honestly filled out to the best of my knowledge.

Thank you,

©2010 Calvary Church Student Ministries Team