Reference Survey

You have been asked to complete a reference survey for a leader pursuing working with Nuova Vita, Salerno. This survey has been sent to people that fit one or more of these roles in the applicant's life: lead pastor, spiritual mentor, friend or peer, and/or disciple.

This survey will also be filled out by the applicant as a self-assessment of himself. It will be used to identify potential strengths, weaknesses, and blind-spots that the applicant might have as he pursues working for Nuova Vita. Please answer the following questions and provide any pertinent information on this applicant as we continue to walk with him in his calling. 

On a side note: living overseas and doing full-time ministry in Italy is no joke. We would urge you to be honest and thorough, for the good of the applicant, and the team they intend to join. You job isn't to help get them here, it's to help us determine together if it is what is best. And we highly value your input.

Thank you for taking the time to complete this survey as well as your investment in the life of this applicant! 

Please keep a back up document of your answers in case they don't save.

Initial Information
NOTE: The application is written in the masculine form, but may also be used for female applicants. Just substitute he/she, husband/wife, etc.
Name of person you are referring *
Name of person you are referring
Date *
Date
Your Name (evaluator) *
Your Name (evaluator)
If we would need to follow up, what is the best phone # to reach you: *
If we would need to follow up, what is the best phone # to reach you:
1. Spiritual Vitality
Please rate the applicant on the aspects of spiritual vitality as noted below using a scale where: 1 = Strongly Disagree, 2 = Disagree, 3 = Sometimes, 4 = Agree and 5 = Strongly Agree.
2. Clarity & strength of conviction for his calling
Please rate the applicant on the aspects of his clarity and conviction as noted below using a scale where: 1 = Strongly Disagree, 2 = Disagree, 3 = Sometimes, 4 = Agree and 5 = Strongly Agree.
3. Leadership Abilities
Please rate the applicant on the aspects of leadership ability as noted below using a scale where: 1 = Strongly Disagree, 2 = Disagree, 3 = Sometimes, 4 = Agree and 5 = Strongly Agree.
4. Disciple-Making Skills
Please rate the applicant on the aspects of disciple-making skills as noted below using a scale where: 1 = Strongly Disagree, 2 = Disagree, 3 = Sometimes, 4 = Agree and 5 = Strongly Agree.
If you've experience his preaching, please comment on it here.
5. Theological Clarity
Please rate the applicant on the aspects of theological clarity as noted below using a scale where: 1 = Strongly Disagree, 2 = Disagree, 3 = Sometimes, 4 = Agree and 5 = Strongly Agree.
Found here: http://www.acts29network.org/about/distinctives/
6. Marriage and Family Life
Please rate the applicant on the aspects of a strong marriage and family life as noted below using a scale where: 1 = Strongly Disagree, 2 = Disagree, 3 = Sometimes, 4 = Agree and 5 = Strongly Agree.
7. Relationship Building
Please rate the applicant on the aspects of relationship building as noted below using a scale where: 1 = Strongly Disagree, 2 = Disagree, 3 = Sometimes, 4 = Agree and 5 = Strongly Agree.
8. Missional Lifestyle
Please rate the applicant on the aspects of a missional lifestyle as noted below using a scale where: 1 = Strongly Disagree, 2 = Disagree, 3 = Sometimes, 4 = Agree and 5 = Strongly Agree.
(Or, if he's never lived there, he has the ability to learn, understand, and contextualize.)
9. Emotional Health / Stability
Please rate the applicant on the aspects of emotional health and stability as noted below using a scale where: 1 = Strongly Disagree, 2 = Disagree, 3 = Sometimes, 4 = Agree and 5 = Strongly Agree.
Italy can be a frustrating culture to live in for an American. Typically people with little flexibility and patience will not do well here. Knowing this person, do you feel like this would be the best environment for them to live and thrive?
10. Entrepreneurial Aptitude
Please rate the applicant on the aspects of entrepreneurial aptitude as noted below using a scale where: 1 = Strongly Disagree, 2 = Disagree, 3 = Sometimes, 4 = Agree and 5 = Strongly Agree.
Concluding Thoughts:
i.e. character, strengths, weaknesses, issues to work on, past events, etc.
Thanks for taking the time to complete this survey!