10/40 Trip Reference Form
You are being asked to fill out a reference for an alumni desiring to go on a 5 month trip to the 10/40 window. Please prayerfully consider the information asked below. Your honest assessment is highly valued and appreciated.
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Your name *
Phone Number *
Email Address *
Name of Applicant *
General Questions
Please Rate the participant based on your experience with them on the World Race. 
High Character and Integrity *
Explain. *
Teachable Spirit *
Explain. *
Level of Self-Awareness *
Explain. *
Creates and maintains a healthy culture with those around them:
*
Explain.
*
Security in Identity
*
Explain *
Ability to lead self and others. *
Explain *
Is there anything not mentioned above that we should know?
(e.g. major sin struggles/patterns, significant behavioral issues or incidents on the race, things they overcame, how they've been doing since the race, etc.)
*
Due to the sensitive nature of the locations on this trip, we are looking for participants with high levels of responsibility, maturity, and emotional & spiritual health. Do you recommend this person for this trip? Please explain. *
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