Anglican Church of Canada Theological Students International Intern by qpeoru8364

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									                                              Anglican Church of Canada
                             Theological Students International Intern Program (TSIIP)
                                           Reference Form - 2008 Program

                                                 **CONFIDENTIAL**

(PLEASE PRINT)

Student Candidate                                                                                             ____

Form Completed by:                                                                Contact #:                  ____

             DEADLINE FOR RECEIPT OF REFERENCES IS NOVEMBER 1, 2007
Please complete and forward directly to:
                                                 Clementina Thomas
                                 Theological Students’ International Intern Program
                                             Anglican Church of Canada
                                                  80 Hayden Street
                                         Toronto, Ontario, Canada, M4Y 3G2
             Phone: (416) 924-9199, Ext. 361 Fax: (416) 969-9797 Email: cthomas@national.anglican.ca

How long and under what circumstances have you known the candidate?




Please give any information you can about the applicant’s sensitivity to cross-cultural experiences and issues.




Please check the following scales and add any comments you think pertinent, particularly if your rating tends to the
negative, between 3 and 5 on the scale.

Flexibility of approach to work situations and problems:
very flexible 1                     2                 3                 4                  5 very rigid




Persistence in working out problems:
very persistent 1                   2                 3                 4                  5 not persistent




Care and efficiency in handling money:
highly efficient 1                  2                 3                 4                  5 not efficient




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                                                                                                                  12/19/07
Adaptability to changing work requirements:
very adaptable 1                    2         3   4   5 not adaptable




Stability under emotional strain:
very stable           1             2         3   4   5 very unstable




Self reliance in working out own ideas:
very self-reliant 1                 2         3   4   5 not self-reliant




Capacity for hard work:
industrious           1             2         3   4   5 lazy




Ability to decide and act:
decisive              1             2         3   4   5 indecisive




Capacity to think for himself/herself:
independent           1             2         3   4   5 dependent




Willingness to accept new ideas:
able to accept        1             2         3   4   5 unable to accept
new ideas                                               new ideas



Willingness to accept responsibility:
willing               1             2         3   4   5 unwilling




Has a sense of humour:
keen                  1             2         3   4   5 lacking




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                                                                           12/19/07
Capacity to accept criticism:
Able to accept    1                2                 3              4                5 unable to accept




Sensitivity to the feelings and attitudes of other people:
sensitive        1                 2                 3              4                5 insensitive




Concern for people:
real              1                2                 3              4                5 affected




Willingness to delegate responsibility:
willing          1                 2                 3              4                5 unwilling




Capacity to cooperate with others:
works well        1                2                 3              4                5 unable to work
with others                                                                            with others



Ability to cope with new situations where past experience and knowledge are of little help:
superior          1                2                 3              4                5 inferior




Ability to organize work program:
superior          1                2                 3              4                5 inferior




What overall rating would you give this candidate for an international internship of 3 months:

Superior         Excellent                  Good                    Fair                      Poor


These forms can’t cover everything. What other comments would you like to make about this candidate? (Use back of
sheet if necessary).



Signature                                                           __________    Date        ________




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                                                                                                          12/19/07

								
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