____________________________ is being considered to participate with our Urban Plunge in Orlando, a
summer missions program with InterVarsity Christian Fellowship. It would be most helpful to both the
applicant and InterVarsity if you would be completely frank. Many of the questions have to do with
placement rather than acceptance or rejection. Thank you!

1. How long have you known this person? In what capacity?







2. How has this person's Christian position affected you and others around him/her?







3. Please describe the applicant's character in the area of:

     Teachability:







     Servanthood:







     Response to authority:







     Team player:







     Flexibility:







4. What, in your opinion, are the major strengths and weaknesses of this
person?







5. Describe this person's relationship with those of the same sex. The
opposite sex?







6. How does this person respond to unfamiliar people in a strange
environment? What actions and/or reactions you have observed?







7. Please circle and describe any concerns you may have regarding the
applicant in the following areas: Personal appearance, weight, ability to
engage in rigorous activity, self-control, drugs or medication, chronic
health problems, emotional or mental problems.







8. We all need growth in certain areas of our life. Looking over the
following categories, in which areas does the applicant need to grow the
most? Please circle and comment on those areas so that we can better train
and place this person during the summer.

     Lacks some social skills (consider shyness, initiation tact … ).



     Sometimes lacks common sense.



     Sometimes is overly sensitive.



     Sometimes has difficulty with authority.



     Sometimes is unteachable or inflexible.



     Has poor self-concept.



9. Why do you think this person wants to go on an urban project?







10. Other comments:







Date: _________________________

Signature: _________________________

Address: ____________________________
____________________________

Phone: (     )

Please return this to the applicant or mail it to IVCF - OUP. Put it in
a sealed envelope to ensure confidentiality. Their application cannot be
processed until this reference is received. Thank you!

IVCF - OUP
338 E. Lyman Ave.
Winter Park, Florida 32789
407/647-3413, ext. 325