Coach Reference Form

Thank you for taking the time to complete this reference form. You will need approximately 15 minutes to complete the form. Please ensure that you have a secure internet connection and are able to complete this form in one sitting.

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email Address

Phone

(###)

###

####

Name of Applicant for the LAUNCH coaching role

How long and in what relationship have you known the applicant?

What are the applicant's greatest strengths and/or giftings? (Be as specific as possible.)

What evidence have you seen of this applicant's spiritual maturity and openness to spiritual growth?

Comment on the applicant's suitability for working with 14-25 year old leaders in a coaching role.

What might prove to be the greatest challenge to this applicant in the LAUNCH coaching role?

Please indicate your perception of the applicant regarding the following qualities:

Patience

Adaptability

Dependability

Initiative

Integrity

Leadership Ability

Conflict Management

Decision Making

Communication Skills

Strategic Planning

Empowerment of Others

Family Relationships

Emotional Stability

Spiritual Health

Healthy Sexual Boundaries

Has the applicant significantly invested in YOUR life as a coach or mentor?

(If "no", go to the next section. If "yes", please comment on the questions below.)

Yes

When and under what circumstances did the applicant impact your life?

What benefits did you receive from this experience?

How were you challenged in this relationship?

If you are no longer meeting with the applicant, please comment on how well the partnership ended.

Please indicate your recommendation of the applicant for a LAUNCH coaching role.

Yes, please contact me if further clarification is needed regarding this form.

I Agree