Youth Ministry Reference from Mentor

Part 1

Name of Student*

First Last

Your Name*

First Last

Position or Title*

Phone*

How long have you mentored the applicant?*

How well do you know the applicant?*

Very Well
Fairly Well

The individual named above is considering entrance to the Internship Program of The National Institute for the Development of Ministries to Youth. This is an exclusive academic and practical internship experience designed for those students who have demonstrated an unusual level of maturity, ministry commitment, and motivation to train for a professional position in Youth Ministry. Your input is needed to aid in the selection process. Your responses will be kept in confidence.

Part 2

Please state your overall impression of this student:*

Are you personally aware of anything that would disqualify or hinder this student’s involvement in The National Institute’s Internship? If yes, please explain.*

In your opinion, what is the applicant’s commitment to God?*

Give two or three special abilities this person has which would be helpful as a TNI Intern. (sports, music, office, leadership, etc.)*

Part 3

As an intern, how would you rate this student’s ministry potential at the internship site? (check one in each category)

as a counselor?*

Excels
Good
Questionable
Poor

as an example to others?*

Excels
Good
Questionable
Poor

as a spiritual teacher?*

Excels
Good
Questionable
Poor

Check the appropriate space which most clearly represents this person:

Cooperation*

Leadership*

Appearance (dress, etc.)*

Reliability*

Initiative*

Spiritual Growth*

Respect for Authority*

Consistency of Temperament*

Church Involvement*

Consistency of Chrisian Life*

Spiritual Maturity*

Emotional Maturity*

Sense of Humor*

Interest in Youth*

Dealing with Problems*

Team Work with Others*

Following Instructions*

Completing Assignments*

Dealing withi Conflicts*

Part 4

I recommend this applicant as an intern.*

Yes
No

I cannot recommend this applicant as an Intern for the following reason(s): (This information will be hled in strict conficence)*

Daytime/Cell Phone:*

Reference for Mentor

Part 4