Confidential Reference

230 Jones St. 
San Francisco, CA 94102
Phone: 415.292.1770
Fax: 415.292.1771

Recommendation Form: to be filled out by high school or college teacher, employer or friend and mailed directly to City Impact. A family member should not fill out this form. 

Applicant's Name *
Applicant's Name
Your Name *
Your Name
Address *
Address
Phone *
Phone
Each applicant for admission to City Impact School of Ministry must submit recommendations. Serious consideration will be given to your comments, therefore, we ask that you complete this form carefully. Your comments will be held confidentially.
1. Mental ability *
2. Personal motivation *
3. Industry achievement *
4. Maturity *
5. Disposition *
6. Appearance *
7. Personal devotions *
8. Church attendance *
9. Spiritual growth observed *
10. Self image *
11. Emotional stability *
12. Coping with personal problems *
13. Response to pressure *
14. Reliability/faithfulness *
15. Financial responsibility *
16. Honesty *
17. Openness *
18. Moral standards *
19. Positive attitudes *
20. Grateful spirit *
21. Enthusiasm *
22. Judgement/common sense *
23. Creativity *
24. Adaptability/flexibility *
25. Teamwork/cooperation *
26. Servanthood *
27. Follows instructions *
28. Teachable spirit *
29. Liked by others *
30. Concern for others *
31. Can express feelings *
32. Communication skills *
33. Ability to plan/set goals *
34. Ability to motivate others *
35. Self discipline *
36. Physical condition, health *
37. Humility *
In your opinion, this applicant's Christian walk is which of the following? *
Check all that apply
Date *
Date