Youth With A Mission Heidebeek School Reference Form This reference form is meant to be filled in by either a student s pastor, spiritual leader, friend or DTS leader and help us to evaluate the student s application to one of the Heidebeek s training courses. All of our training programs are registered with the UofN (University of the Nations) and receive credits towards a degree program. For more about the UofN visit www.uofn.edu. School Reference Form
To know God and to make Him known A word from the base director, We have recently received a request for an application to one of our courses at Youth with a Mission (YWAM) from the person named in this reference form. It is our policy to correspond directly with you as a chosen reference by the applicant. We d like to acquaint you personally with our work and to seek your counsel concerning the participation of this person in our training program. We request that you fill out the enclosed reference form to assist us in the application process. Heidebeek is one of over 1000 centers that the international and interdenominational missions movement Youth With A Mission (YWAM) has in around 150 countries. Heidebeek exists to mobilize and train especially young people for the Great Commission (Matthew 28:19). With the students of the schools, the participants in many and varied activities, and the 100 staff here, there is a buzz of activity and life. Youth With A Mission Heidebeek is a missions community that mobilizes, equips and makes God known to all the world. The spectrum of the work is quite broad. There are schools and courses for three months or longer, schools like the Discipleship Training School (DTS), the School of Worship (SOW), the School of Evangelism (SOE) and the School of Biblical Studies (SBS). There are also many short-term courses, missions trips, evangelistic outreaches and youth weekends organized. Apart from that, Heidebeek coordinates missions projects in the world, and gives oversight and leading to missionaries that are working in foreign countries. Heidebeek was bought by YWAM in 1973, and has served right from the beginning as a center for discipleship and missions. In the beginning it was connected with the evangelism work of YWAM Amsterdam. Since 1977 DTS s have been held at Heidebeek. Since then more than 2000 people have been trained in this school. Students come from all over the world and go again into the entire world. Some go to work amongst unreached people in what sometimes can be difficult situations. Next to Heidebeek, YWAM has a number of centers in Holland: in Arnhem, Amsterdam, Assen, Ede, Hoornaar and Veenkolonien. As a base we have a specific focus on Indonesia. However we also reach out to other regions, countries and people groups. Heidebeek is situated between two villages, Epe and Heerde, in a beautiful part of the forest region. From the various Heidebeek properties, you can walk straight into the forest or heather fields. An ideal place to be able to seek God in peace and make important life decisions. If you have any further questions or wish to make suggestions on how we can build a good working relationship, please get in touch with us. We value your input in this process. Sijtje Tollenaar Base Director Youth with a Mission Heidebeek Mussenkampseweg 32 8181 PK Heerde, Netherlands Tel +31 578 691 534 Rabobank 16.13.26.447 IBAN: NL61 RABO 0161 3264 47 BIC: RABONL2U YWAM Heidebeek A missions community that mobilizes, equips and makes God known to all the world. heidebeek@ywam.nl
Referal Information STEP ONE Some basic info Applicant Details Full Name Student School Applied For Above applicant has applied to one of our schools/courses at Youth With A Mission. In order to adequately evaluate the applicant for admission, we would appreciate if you would supply the information requested on this form and return it directly to us (not via the applicant) as soon as possile. Please send or e-mail this completed reference form to the following address: YWAM Heidebeek Reference form: Enter school/course name Mussenkampseweg 32 8181 PK Heerde Netherlands By e-mail: registrar@ywam.nl Referer Details Full Name Address Postal Code City Country Telephone include country & area code Mobile include country code Email Fax include country & area code Relationship to Applicant Friend Pastor Elder DTS Leader Other If other, please specify If church, denomination How long have you known the applicant? On a scale of 1 to 10, how well do you feel you know the applicant? (1 being very little, 10 being extremely well) 1 2 3 4 5 6 7 8 9 10 1 School Reference Form - Referal Information
Attitude & Christian Walk STEP TWO Tell us about the applicant Please rate the applicant in the following areas. Leave the question open if you do not know how or what to answer. If you need more space for your answer, please write on the back or include a separate sheet of paper. Personal Attitude Positive Attitude Excellent Good Fair Coping with personal problems Excellent Good Fair Response to Pressure Excellent Good Fair Self Image Excellent Good Fair Expressing Feelings Excellent Good Fair Please describe how this person copes in difficult situations Christian Walk Church Involvement Excellent Good Fair Shares Faith with Others Excellent Good Fair Spiritual Growth Excellent Good Fair Moral Standards Excellent Good Fair Describe his/her Christian Walk Mature Genuine Superficial Reaches out Stable Variable Emotional Self focussed Please describe this person s Christian walk in your own words 2 School Reference Form - Attitude and Christian Walk
Character & Social Skills STEP THREE Help evaluate the applicant Character Profile Honesty Excellent Good Fair Openness Excellent Good Fair Enthousiasm Excellent Good Fair Credibility Excellent Good Fair Diligent Excellent Good Fair Takes Initiative Excellent Good Fair Open to Others / Can Listen Excellent Good Fair Use of Time / Self Discipline Excellent Good Fair Stewardship Excellent Good Fair Personal Appearance Excellent Good Fair Social Skills Servanthood Excellent Good Fair Ability to Motivate Others Excellent Good Fair Leadership Qualities Excellent Good Fair Ability to Organize Excellent Good Fair Cooperation in a Team Excellent Good Fair Respects and Accepts Authority Excellent Good Fair Concern for Others Excellent Good Fair Appreciated by Others Excellent Good Fair 3 School Reference Form - Character and Social Skills
Child Safety Policy STEP FOUR We value the safety of children YWAM highly values the well-being and safety of children. Therefore we have a Child Protection Policy. We would like to ask you to answer these following questions: Is there any reason for concern about the behavior of this person towards children? Reason for concern Yes No Has any child, parent or other adult ever voiced a complaint (or accusation) about the behavior of this person towards children? Received complaints Yes No Would you have any hesitation of entrusting your own child, or a child of a relative in the care of the applicant? Trust issues Yes No If you have answered any of the above questions with yes, could you please explain why. Finally, please give your recommendation and reasoning for this persons acceptance. Recommend Acceptance Yes No Please give your reason for his / her acceptance Signature Date day month year / / 4 School Reference Form - Child Safety Policy