YLTP Prospectus Northwest Baptist Seminary
FEBBC/Y
Youth
Commission
Northwest
Baptist
Seminary
The
Local Church
Youth Leadership Training Program
INTRODUCTION
A unique, three-way partnership between the B.C.
Fellowship Baptist Youth Commission, Northwest
Baptist Seminary and the local church, the Youth
Leadership Training Program offers a creative
method for Fellowship Baptist churches to prepare
gifted people to fulfill their calling to minister to youth.
The Youth Leadership Training Program, offers a way
for members of Fellowship Baptist Churches to train for
professional youth ministry. A creative and innovative blend
of mentored learning, in-church training, and formal
academic courses develops a godly pastoral perspective and
effective leadership skills in an affordable manner. If admitted individuals complete
both levels of the program, they would earn an accredited Master’s degree while
they are being mentored by experienced ministry leaders. This program offers a way
for people who are recognized for their gifting and calling to find support for their
ministry training through partnership with Northwest, the Youth Commission and
their local church. Such individuals will have the advantage of learning on the job,
guided by experienced ministry leaders and seminary faculty.
ACADEMIC EXPECTATIONS
Students seeking admission to the FEBBC/Y Youth Commission/NBS Youth
Leadership Training Program must have two years (60 credit hours) of formal post-
secondary education or its equivalent as evaluated by NBS.
Stage One: Diploma in Youth Ministry - (30 credits)
This part of the program includes a significant component of closely mentored,
practical, in-church training.
Stage Two: Master of Arts in Christian Studies - (51 credits)
The Diploma in Youth Ministry is issued by Northwest Baptist Seminary and the
Master of Arts Christian Studies is an ACTS Seminaries program.
TUITION COSTS
The current rate for Diploma level courses is $175 per credit over a total 30 credit
hours.
$175 X 30 = $5,410* Church $1,803 Seminary $1,803 Student $1,803
*Adjusted to include RES500 Research Strategies which is charged at the current ACTS Seminaries tuition rate.
The current rate for Masters level courses is $335 per credit over a total of 51 credit
hours as determined by ACTS Seminaries.
$335 X 51 = $17,085 Church $5,695 Seminary $5,695 Student $5,695
MENTORED STUDENT
Youth Leadership Training Program
YLTP Prospectus Page 1 Northwest Baptist Seminary
Checklist
Dear Youth Pastor
*Here is how we suggest you pursue your interest in the FEBBC/Y Youth
Commission/NBS Youth Leadership Training Program.
1. Read all the enclosed information in order to determine whether a) the
student mentoree you are considering for this program and b) your church
situation would meet the program expectations. (This step will require you to
obtain considerable background information from the student mentoree)
2. Contact Northwest Baptist Seminary to confirm the student's general
academic qualifications.
Phone: (604) 888-7592
E-mail: [email protected]
3. If indications from the Seminary are generally positive, contact Rob Schweyer
& Ken Castor from FEBBC/Y Youth Commission to confirm the suitability of
the mentoring/ministry setting.
Phone: (604) 467-9613 (250) 248-6322
E-mail: [email protected] [email protected]
4. If indications from FEBBC/Y Youth Commission are generally positive, you &
the student mentoree must make a formal proposal to your Senior Pastor
and Church Board seeking their support for the program. They will be
required to sign the application form.
5. If the church leadership approves support, you & the student mentoree will
complete the application and submit it to FEBBC/Y Youth Commission for
consideration.
6. FEBBC/Y Youth Commission will consider the application and if suitable will
seek an interview with you & the student mentoree at a date no later than
June 15.
7. FEBBC/Y Youth Commission will then submit the application to NBS with
their recommendation.
8. NBS issues an acceptance letter and course registration information to the
student.
9. On receipt of the letter, the student mentoree will register for September
courses. Books will then be ordered and students will prepare to begin.
*
This package is designed to be used by youth pastoral mentors. If you are a student who is interested in the
training program you need to contact your youth pastor and discuss this program with him or her to determine
if this program really fits for you.
Deadline May 15
Deadline June 15
Deadline June 30
Deadline July 15
Deadline July 30
Youth Leadership Training Program
YLTP Prospectus Page 2 Northwest Baptist Seminary
Schedule
The following is a proposed schedule of courses for the duration of the Youth
Leadership Training Program. Students are free to customize their own schedule
with the advice of both the Seminary and the church. It should be noted, however,
that the Diploma must be completed (minimum G.P.A. 3.0) before the student can
be admitted to Master of Arts courses within ACTS Seminaries.
The Diploma part of the program will include a significant component of closely
mentored, practical, in-church training.
Admission to the Master’s component of the program will be on academic probation
for the first 15 credits of the Master’s level study pending achievement of an
acceptable GPA.
First Stage: Diploma in Youth Ministry - (30 credits)
Fall Semester (12 credits)
YMN 301 Foundations of Youth Ministry (3)
YMN 310 SonLife Strategies (3)
YMN 311 Youth Ministry Programming (2)
YMN 401 The People of God and the Practice
of Ministry (4)
Spring Semester (11 credits)
YMN 302 Introduction to Youth Ministry (3)
YMN 312 SonLife Advanced I (3)
YMN 402 Youth Counselling (4)
YMN 500 Research Strategies (1)
(this is an ACTS prerequisite – RES 500)
Summer Semester (7 credits)
YMN 403 Spiritual Formation for Leaders (3)
YMN 404 Evangelism and Youth Ministry (4)
( or )
YMN 405 Missions and Youth
Please note that students are not obligated to continue to the MACS program but could
conclude their studies with the diploma program.
Second Stage: Master of Arts in Christian Studies [MACS] -
(51 credits)
The MACS is offered by Northwest Baptist Seminary through its participation in the
ACTS Consortium (Trinity Western University). All ACTS rules and protocols apply.
The degree can be completed in two years (though a student can take longer if
desired). Students can be expected to contribute as many as 40 hours of work per
credit hour over the course of the 15 weeks of the semester. A student would then
need to commit to 24 hours per week of academic study if taking 9 credits in a given
semester (each course is three credits in length). Note also that each MACS
student must complete 12 credits toward a specialization (either Bible, Theology, or
Pastoral/Church Ministries).
The following schedule assumes the student begins in the fall of an odd numbered
year. This plan would require two week-long visits to campus each semester, once
early in the semester and the other toward the middle of the semester. The rest of
the program can be managed online. Please note that CLD 510 requires an extra
visit. This course is concluded by late September so as not to interfere with other
Fall semester courses. For further details, please see www.acts.twu.ca.
Youth Leadership Training Program
YLTP Prospectus Page 3 Northwest Baptist Seminary
First Fall Semester – 12 credits (September through December)
CLD 510 – Introduction to Christian Leadership
CLD 531 – The Personal Life of the Christian Leader
HIS 000 – History Elective
Elective – Specialization Course
First Spring Semester – 9 credits (January through April)
CLD 532 – Power, Change, and Conflict
BIE 505 – Biblical Hermeneutics
Elective – Specialization Course
First Summer Semester – 6 credits (May through August)
BIE 000 – Old Testament Elective
Elective – Specialization Course
Second Fall Semester – 9 credits
CLD 533 – Mentoring, Team-Building and Equipping
THS 571 – Believer’s Church Theology
Elective – Specialization Course
Second Spring Semester – 9 credits
CLD 534 – Vision, Strategic Planning, and Organizational Leadership
THS 680 – Christianity and Culture
Elective – Specialization Course
Second Summer Semester – 6 credits
BIE 000 – New Testament Elective
MCS 810 – Graduate Essay
Graduation Options - ACTS policy states that a student must complete all but three
credits of their program by the end of a spring semester in order to participate in
graduation, providing that the outstanding course is completed in the subsequent
summer. The graduate essay must be completed before the student can “walk” at
graduation. Therefore, a student wishing to participate in graduation in April of the
second year should begin the graduate essay (MCS 810) in the preceding summer
or fall.
Youth Leadership Training Program
YLTP Prospectus Page 4 Northwest Baptist Seminary
Financial Expectations
It is anticipated that the student will be a full-time intern employed by the church
under the direction of the youth pastoral mentor throughout the duration of the
program. While these arrangements can be negotiated the plan is that the church
would provide basic living expenses (perhaps room and board) plus one third of the
cost of ACTS/NBS tuition (not including SonLife fees). The other two thirds would be
shared equally between the student and the Seminary by way of scholarship. Terms
of employment are entirely within the province of the church and student.
The Seminary reserves the right to limit the number of students enrolled in the
program as funds allow.
Students will be responsible for their own costs related to any additional courses
required to meet program admission standards. Books and supplies are the
responsibility of the student.
TUITION COSTS
The current rate for Diploma level courses is $175 per credit over a total 30 credit
hours.
$175 X 30 = $5,410* Church $1,803 Seminary $1,803 Student $1,803
The student and church would be responsible for a total of $1750 each, spread
unevenly over the three semesters of the first year. This amount does not
include the cost of books, supplies, or SonLife fees which would be over and
above these costs and are the responsibility of the student and church.
*NOTE: RES500 Research Strategies is an ACTS course and falls under ACTS
current ACTS tuition rates. This adjustment is reflected in the figures above.
The current rate for Masters level courses is $335 per credit over a total of 51 credit
hours as determined by ACTS Seminaries.
$335 X 51 = $17,085 Church $5,695 Seminary $5,695 Student $5,695
The student and church would be responsible for a total of $5115 each, spread
unevenly over the seven semesters of the second and third year. This amount
does not include the cost of books and supplies which would be over and
above these costs; nor does it allow for inflationary increases from year to
year.
SUMMARY: reflecting a projected 5% yearly adjustment for inflation at the masters
level given the student commencing this program in the Fall 2006 semester.
Student Church Seminary Scholarship*
Diploma Tuition $1,803 Diploma Tuition $1,803 Diploma Tuition $1,803
Masters Tuition $5,695 Masters Tuition $5,695 Masters Tuition $5,695
TOTAL TUITION:
(+5% adjustment)
$7,782 TOTAL TUITION:
(+5% adjustment)
$7,782 SCHOLARSHIP: TOTAL $7,782
SonLife Costs $1,124 SonLife costs are over and above the regular course tuition rates.
Youth Leadership Training Program
YLTP Prospectus Page 5 Northwest Baptist Seminary
Pastoral Mentor Expectations
To serve as a mentor in the Youth Pastor Training Program a Youth Pastor must:
1. Be Sonlife Advance II trained
2. Present to the Youth Commission their ministry model, including 6 completed
KRA’s, and a one page Description of a Discipled Person.
3. Have served a minimum of 3 years in youth ministry.
4. Have their present ministry evaluated by at least two people approved by the
Youth Commission.
Once these steps have been taken, the Youth Commission will make the final call as
to the qualification status of the potential mentor.
Any exceptions to these guidelines must be approved by a vote of the Youth
Commission.
Youth Leadership Training Program
YLTP Prospectus Page 6 Northwest Baptist Seminary
First Year Calendar of Events
Jan - April ...Youth pastor works with the YLTP candidate investigating with the candidate
issues of suitability, calling, timing etc.
**This includes requesting NBS to check the candidate's academic
qualifications. (transcripts will be needed).
May 15 ...Completed application form and references submitted to the Youth
Commission.
June 15 ...Last date for Youth Commission interview of applicant.
June 30 ...Last date for applications of approved candidates to be submitted to NBS by
the Youth Commission.
July 1...NBS issues Fall semester contract letters to course instructors and mentors.
July 15...NBS issues a letter of acceptance and registration information to each
approved applicant.
July 30...Last date for new student to register for Fall semester courses.
July 30...NBS orders books and materials for the Fall semester.
August 15...Syllabus and book package sent to students.
September 1 ...Fall semester begins.
October 1...NBS sends out Spring semester contract letters to course instructors and
mentors.
October 30...NBS orders books and materials for the Spring semester.
**Students pre-register with ACTS for YMN 500
December 1 ....Spring semester syllabus and book package sent to students.
January 2 ...Spring semester begins.
January 2 ...NBS sends out Summer semester contract letters to course instructors and
mentors.
January 15 ...Grade submission deadline for Fall semester
**Payment of Fall semester stipends.
January 31 ...NBS orders books and materials for the Summer semester.
April 1 ...Summer semester syllabus and book package sent to students.
May 1 ...Summer semester begins.
May 15 ...Grade submission deadline for Spring semester
**Payment of Spring semester stipends.
June 1 ...Application to ACTS Seminaries
Sept. 15 Grade submission deadline for Summer semester
**Payment of Summer semester stipends.
NORTHWEST BAPTIST SEMINARY
APPLICATION FOR ADMISSION TO
YOUTH LEADERSHIP TRAINING PROGRAM (YLTP)
1. Print your full name:
FIRST LAST MIDDLE (WIFE'S NAME IF MARRIED)
2. Print your current mailing address:
STREET CITY PROV/STATE POSTAL CODE PHONE NUMBER
3. Print your personal & contact information:
S / M
SOCIAL INSURANCE NUMBER BIRTHDATE MARITAL STATUS PHONE NUMBER E-MAIL ADDRESS
4. Print youth pastoral mentor information:
NAME OF YOUR PASTORAL MENTOR OFFICIAL POSITION PHONE NUMBER EMAIL ADDRESS
5. Print your church's name:
6. Print your church information:
STREET CITY PROV/STATE POSTAL CODE PHONE
7. Print your educational history: XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
NAME OF INSTITUTION DEGREE/DIPLOMA RECEIVED YEARS ATTENDED
• PLEASE BE SURE TO HAVE OFFICIAL TRANSCRIPTS OF ALL PREVIOUS POST SECONDARY
EDUCATION SENT TO NORTHWEST BAPTIST SEMINARY - ATTENTION REGISTRAR
• PLEASE ATTACH A COPY OF YOUR PERSONAL TESTIMONY
STUDENT'S SIGNATURE and YOUTH COMMISSION'S APPROVAL
I HEREWITH MAKE APPLICATION FOR ADMISSION TO THE YOUTH LEADERSHIP TRAINING PROGRAM AND
CONFIRM THAT THE ABOVE INFORMATION IS COMPLETE AND CORRECT.
___________________________ _________________ _________________________
Applicant's Signature Date FEBBC/Y Youth Commission Signature
CHURCH'S COMITTMENT
WE HEREWITH CONFIRM OUR COMMITMENT TO SUPPORT THE ABOVE NAMED STUDENT FOR THE DURATION
OF HIS ENROLMENT IN THE YOUTH LEADERSHIP TRAINING PROGRAM AS DESCRIBED IN THE PROSPECTUS.
___________________________ _________________ _________________________
Youth Pastoral Mentor's Signature Date Senior Pastor or Board Chairman's Signature
NORTHWEST BAPTIST SEMINARY ACADEMIC DEAN _____________________________________________
Signature Date
NOTE: A further application will need to be made to ACTS Seminaries for the MA portion of the program subsequent to
completion of the Diploma. Acceptance into YLTP does not automatically imply acceptance into the MA by ACTS.
FOR OFFICE USE ONLY: Application fee $35
DATE RECEIVED: BY:
Student ID # assigned TOTAL
YLTP Application Northwest Baptist Seminary
Northwest Baptist Seminary
Permission to Disclose Student Information
To enroll a Northwest Baptist Seminary Youth Leadership Training Program
student as a part-time non-degree student at ACTS Seminaries Northwest will need
to forward the following from the student's Northwest academic file to ACTS
Enrolment Services:
1. A photocopy of one of the student's original references
2. A photocopy of the student's personal testimony
3. A photocopy of the student's original academic transcripts from other
institutions
4. An original copy of the student's current registration in the YLTP program at
Northwest
In order to do that Northwest needs the following waiver signed by the student:
Student Name: __________________________________________________
NBS ID#: _______________________________________________________
Address: _______________________________________________________
Phone # : _______________________________________________________
E-mail address: __________________________________________________
I HEREBY GRANT NORTHWEST BAPTIST SEMINARY PERMISSION TO
DISCLOSE MY PERSONAL/ACADEMIC INFORMTATION TO ACTS
SEMINARIES FOR THE PURPOSES OF ENROLING ME AS AN ACTS PART-
TIME STUDENT.
I am at least 18 years of age and I have read and understand the forgoing statement
and am competent to execute this agreement.
______________________ ________________
Student signature Date
YLTP Application Page 1 Northwest Baptist Seminary
Confidential Personal Reference # 1 Employer/Friend
Applicant
Mr. Ms. Mrs. Miss Name (last, first, middle) ____________________________________________________________________ Mailing Address ___________________________________________________________________________________________________ City _________________________ Prov/State ________________ Country ____________________ Postal Code/Zip ________________ Home Phone __________________ Work Phone _________________ Fax __________________ E-mail _____________________________
Referee
The person named above has applied to the Youth Leadership Training Program and has submitted your name as a referee. Kindly complete all of the questions to the best of your knowledge.
Mr. Ms. Mrs. Miss Name (last, first, middle) ________________________________________________________________________ Position_______________________________________________ Company _____________________________________________________ Mailing Address ___________________________________________________________________________________________________ City _________________________ Prov/State ________________ Country ____________________ Postal Code/Zip ________________ Home Phone __________________ Work Phone _________________ Fax __________________ E-mail _____________________________ How long have you known the applicant? ________________________ How well do you know the applicant? Very well Well Casually Describe the context of your relationship with the applicant
Describe the applicant's health
Further comments you may have regarding the applicant
Please complete both sides of this reference form…
YLTP Application Page 2 Northwest Baptist Seminary
Confidential Personal Reference # 1 Employer/Friend
Check the words or phrases which best describe the applicant
Desire to learn
Strong Determination Positive Attitude Needs encouragement Shows little interest No opportunity to observe
Leadership
Excellent initiative Good organizer Leads when asked Makes little effort No opportunity to observe
Cooperation
Works well with others Usually cooperative Avoids group activities Causes friction No opportunity to observe
Respect for authority
Always respectful Generally respectful Critical Disrespectful No opportunity to observe
Concern for others
Unselfish, caring Considerate Indifferent Self-centered No opportunity to observe
Acceptance by peers
Well liked, sought out Well accepted Tolerated Not accepted No opportunity to observe
Choice of associates
Very discerning Somewhat discerning Questionable discernment Careless No opportunity to observe
Emotional stability
Consistently Stable Usually well adjusted Sometimes unstable Unbalanced, unstable No opportunity to observe
Energy and initiative
Seeks additional tasks Does more than expected Needs encouragement Shows little interest No opportunity to observe
Spiritual motivation and moral integrity
High Consistent Inconsistent Little spiritual belief No opportunity to observe
Anticipated achievement in academic studies
Will excel - (A student) Better than average Acceptable May struggle No opportunity to observe
Anticipated success in ministry
Outstanding Good Adequate Unsuitable No opportunity to observe
Recommendation
I recommend this applicant I recommend this applicant with reservation (please attach reasons) I do not recommend
Signature ___________________________________ Date___________________________
YLTP Application Page 1 Northwest Baptist Seminary
Confidential Personal Reference # 2 Pastor/Spiritual Advisor
Applicant
Mr. Ms. Mrs. Miss Name (last, first, middle) ____________________________________________________________________ Mailing Address ___________________________________________________________________________________________________ City _________________________ Prov/State ________________ Country ____________________ Postal Code/Zip ________________ Home Phone __________________ Work Phone _________________ Fax __________________ E-mail _____________________________
Referee
The person named above has applied to the Youth Leadership Training Program and has submitted your name as a referee. Kindly complete all of the questions to the best of your knowledge.
Mr. Ms. Mrs. Miss Name (last, first, middle) ________________________________________________________________________ Position_______________________________________________ Company _____________________________________________________ Mailing Address ___________________________________________________________________________________________________ City _________________________ Prov/State ________________ Country ____________________ Postal Code/Zip ________________ Home Phone __________________ Work Phone _________________ Fax __________________ E-mail _____________________________ How long have you known the applicant? ________________________ How well do you know the applicant? Very well Well Casually Describe the context of your relationship with the applicant
Describe the applicant's health
Further comments you may have regarding the applicant
Please complete both sides of this reference form…
YLTP Application Page 2 Northwest Baptist Seminary
Confidential Personal Reference # 2 Pastor/Spiritual Advisor
Check the words or phrases which best describe the applicant
Desire to learn
Strong Determination Positive Attitude Needs encouragement Shows little interest No opportunity to observe
Leadership
Excellent initiative Good organizer Leads when asked Makes little effort No opportunity to observe
Cooperation
Works well with others Usually cooperative Avoids group activities Causes friction No opportunity to observe
Respect for authority
Always respectful Generally respectful Critical Disrespectful No opportunity to observe
Concern for others
Unselfish, caring Considerate Indifferent Self-centered No opportunity to observe
Acceptance by peers
Well liked, sought out Well accepted Tolerated Not accepted No opportunity to observe
Choice of associates
Very discerning Somewhat discerning Questionable discernment Careless No opportunity to observe
Emotional stability
Consistently Stable Usually well adjusted Sometimes unstable Unbalanced, unstable No opportunity to observe
Energy and initiative
Seeks additional tasks Does more than expected Needs encouragement Shows little interest No opportunity to observe
Spiritual motivation and moral integrity
High Consistent Inconsistent Little spiritual belief No opportunity to observe
Anticipated achievement in academic studies
Will excel - (A student) Better than average Acceptable May struggle No opportunity to observe
Anticipated success in ministry
Outstanding Good Adequate Unsuitable No opportunity to observe
Recommendation
I recommend this applicant I recommend this applicant with reservation (please attach reasons) I do not recommend
Signature ___________________________________ Date___________________________
YLTP Application Page 1 Northwest Baptist Seminary
Confidential Personal Reference # 3 Church Board/Congregation
Applicant
Mr. Ms. Mrs. Miss Name (last, first, middle) ____________________________________________________________________ Mailing Address ___________________________________________________________________________________________________ City _________________________ Prov/State ________________ Country ____________________ Postal Code/Zip ________________ Home Phone __________________ Work Phone _________________ Fax __________________ E-mail _____________________________
Referee
The person named above has applied to the Youth Leadership Training Program and has submitted your name as a referee. Kindly complete all of the questions to the best of your knowledge.
Mr. Ms. Mrs. Miss Name (last, first, middle) ________________________________________________________________________ Position_______________________________________________ Company _____________________________________________________ Mailing Address ___________________________________________________________________________________________________ City _________________________ Prov/State ________________ Country ____________________ Postal Code/Zip ________________ Home Phone __________________ Work Phone _________________ Fax __________________ E-mail _____________________________ How long have you known the applicant? ________________________ How well do you know the applicant? Very well Well Casually Describe the context of your relationship with the applicant
Describe the applicant's health
Further comments you may have regarding the applicant
Please complete both sides of this reference form…
YLTP Application Page 2 Northwest Baptist Seminary
Confidential Personal Reference # 3 Church Board/Congregation
Check the words or phrases which best describe the applicant
Desire to learn
Strong Determination Positive Attitude Needs encouragement Shows little interest No opportunity to observe
Leadership
Excellent initiative Good organizer Leads when asked Makes little effort No opportunity to observe
Cooperation
Works well with others Usually cooperative Avoids group activities Causes friction No opportunity to observe
Respect for authority
Always respectful Generally respectful Critical Disrespectful No opportunity to observe
Concern for others
Unselfish, caring Considerate Indifferent Self-centered No opportunity to observe
Acceptance by peers
Well liked, sought out Well accepted Tolerated Not accepted No opportunity to observe
Choice of associates
Very discerning Somewhat discerning Questionable discernment Careless No opportunity to observe
Emotional stability
Consistently Stable Usually well adjusted Sometimes unstable Unbalanced, unstable No opportunity to observe
Energy and initiative
Seeks additional tasks Does more than expected Needs encouragement Shows little interest No opportunity to observe
Spiritual motivation and moral integrity
High Consistent Inconsistent Little spiritual belief No opportunity to observe
Anticipated achievement in academic studies
Will excel - (A student) Better than average Acceptable May struggle No opportunity to observe
Anticipated success in ministry
Outstanding Good Adequate Unsuitable No opportunity to observe
Recommendation
I recommend this applicant I recommend this applicant with reservation (please attach reasons) I do not recommend
Signature ___________________________________ Date___________________________
YLTP Application Page 1 Northwest Baptist Seminary
Confidential Personal Reference # 4 Teacher/Professor
Applicant
Mr. Ms. Mrs. Miss Name (last, first, middle) ____________________________________________________________________ Mailing Address ___________________________________________________________________________________________________ City _________________________ Prov/State ________________ Country ____________________ Postal Code/Zip ________________ Home Phone __________________ Work Phone _________________ Fax __________________ E-mail _____________________________
Referee
The person named above has applied to the Youth Leadership Training Program and has submitted your name as a referee. Kindly complete all of the questions to the best of your knowledge.
Mr. Ms. Mrs. Miss Name (last, first, middle) ________________________________________________________________________ Position_______________________________________________ Company _____________________________________________________ Mailing Address ___________________________________________________________________________________________________ City _________________________ Prov/State ________________ Country ____________________ Postal Code/Zip ________________ Home Phone __________________ Work Phone _________________ Fax __________________ E-mail _____________________________ How long have you known the applicant? ________________________ How well do you know the applicant? Very well Well Casually Describe the context of your relationship with the applicant
Describe the applicant's health
Further comments you may have regarding the applicant
Please complete both sides of this reference form…
YLTP Application Page 2 Northwest Baptist Seminary
Confidential Personal Reference # 4 Teacher/Professor
Check the words or phrases which best describe the applicant
Desire to learn
Strong Determination Positive Attitude Needs encouragement Shows little interest No opportunity to observe
Leadership
Excellent initiative Good organizer Leads when asked Makes little effort No opportunity to observe
Cooperation
Works well with others Usually cooperative Avoids group activities Causes friction No opportunity to observe
Respect for authority
Always respectful Generally respectful Critical Disrespectful No opportunity to observe
Concern for others
Unselfish, caring Considerate Indifferent Self-centered No opportunity to observe
Acceptance by peers
Well liked, sought out Well accepted Tolerated Not accepted No opportunity to observe
Choice of associates
Very discerning Somewhat discerning Questionable discernment Careless No opportunity to observe
Emotional stability
Consistently Stable Usually well adjusted Sometimes unstable Unbalanced, unstable No opportunity to observe
Energy and initiative
Seeks additional tasks Does more than expected Needs encouragement Shows little interest No opportunity to observe
Spiritual motivation and moral integrity
High Consistent Inconsistent Little spiritual belief No opportunity to observe
Anticipated achievement in academic studies
Will excel - (A student) Better than average Acceptable May struggle No opportunity to observe
Anticipated success in ministry
Outstanding Good Adequate Unsuitable No opportunity to observe
Recommendation
I recommend this applicant I recommend this applicant with reservation (please attach reasons) I do not recommend