Scholarship References

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Scholarship References

DHM Scholarship Reference Form

Date *

Reference for (applicant name): *

Demonstrates creativity: *

4 - Excellent

3 - Good

2 - Adequate

1 - Needs improvement

Please provide a short paragraph (no more than 150 words) describing the applicant's potential for ministry: *

Demonstrates initiative: *

4 - Excellent

3 - Good

2 - Adequate

1 - Needs improvement

Takes personal responsibility: *

4 - Excellent

3 - Good

2 - Adequate

1 - Needs improvement

Shows sound judgment: *

4 - Excellent

3 - Good

2 - Adequate

1 - Needs improvement

Has realistic goals: *

4 - Excellent

3 - Good

2 - Adequate

1 - Needs improvement

Demonstrates motivation toward goals: *

4 - Excellent

3 - Good

2 - Adequate

1 - Needs improvement

Logic and clarity: *

4 - Excellent

3 - Good

2 - Adequate

1 - Needs improvement

General character: *

4 - Excellent

3 - Good

2 - Adequate

1 - Needs improvement

Comments regarding applicant's personal and character skills:

Interacts well with others: *

4 - Excellent

3 - Good

2 - Adequate

1 - Needs improvement

Is respectful to others: *

4 - Excellent

3 - Good

2 - Adequate

1 - Needs improvement

Receives respect from others: *

4 - Excellent

3 - Good

2 - Adequate

1 - Needs improvement

Demonstrates leadership abilities: *

4 - Excellent

3 - Good

2 - Adequate

1 - Needs improvement

General relational skills: *

4 - Excellent

3 - Good

2 - Adequate

1 - Needs improvement

Comments regarding applicant's relational skills:

Relationship to applicant: (PLEASE choose the option for the category for which YOU are filling out the reference form) *

Pastor of Congregation

Professor

Regional Minister or Chair of Commission on Ministry

Region *

Is this student under the care of your region? *

Yes

If no, is this student in the process of coming under the care of your region? *

How long has this student been a member of your church? *

Has this person been a student in a class you've taught? *

Yes

Your name: *

Address: *

City: *

Country: *

State/Province

Postal code: *

Email *

Phone *

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Disciples Home Missions

P.O. Box 1986
Indianapolis, Indiana 46206

DHM is a general ministry of the Christian Church (Disciples of Christ)

This ministry supported in part by Disciples Mission Fund giving.

DHM Scholarship Reference Form

Scholarships

Contact Information

Warren Lynn

Kelly Harris