The person named above has applied to be a student at the Kanakuk Institute. We rely on people like you to help us accurately appraise our prospective students. This includes identifying positive or negative situations from the past or present conditions, which affect the applicant's ministry effectiveness or suitability for admission to the Kanakuk Institute.
Please rate the candidate by placing a check mark by one or more items under each of the headings below. Do not check items of which you feel uncertain or in which you have had no opportunity to observe.
Sociability or Friendliness Avoided by Others Tolerated by Others Liked by Others Well-Liked by Others Sought by Others Responsiveness Slow to sense how others feel Reasonably responsive Understanding and thoughtful Response with unusual insight and consideration
Intelligence Learns and thinks slowly Average mental ability Alert; has a good mind Brilliant; exceptional capacity
Emotional Adjustment Yields to urges or cravings Tense, fearful, worried Easily angered, frustrated Downhearted, blue, depressed Maintains balance, self-control
Achievement Does only what is assigned Starts but does not finish Meets average expectations Resourceful and effective Superior Creative Ability Teachability Rigid, Argumentative Highly opinionated Open-minded Willing to receive instruction Eager to receive instruction
Leadership Makes no effort to lead Tries but lacks ability Has some leadership promise Good leadership ability Unusual ability to lead Self-Image Insecure Feels inferior Self-confident May be prone to boast Modest, true estimate of self
Teamwork Frequently causes friction Usually cooperative Prefers to work alone Most effective in teamwork Handling Conflict Effectively works it out Stuffs frustration Explosive, angry outburst Seems passive-aggressive
Have you noticed in the applicant?
Critical Spirit
--- Not Known Very Apparent Frequently Sometimes Rarely Never Apparent
Argumentative
--- Not Known Very Apparent Frequently Sometimes Rarely Never Apparent
Domineering Manner
--- Not Known Very Apparent Frequently Sometimes Rarely Never Apparent
Procrastinator
--- Not Known Very Apparent Frequently Sometimes Rarely Never Apparent
Impractical
--- Not Known Very Apparent Frequently Sometimes Rarely Never Apparent
Irritable
--- Not Known Very Apparent Frequently Sometimes Rarely Never Apparent
Easily Discouraged
--- Not Known Very Apparent Frequently Sometimes Rarely Never Apparent
Anxious
--- Not Known Very Apparent Frequently Sometimes Rarely Never Apparent
Moody
--- Not Known Very Apparent Frequently Sometimes Rarely Never Apparent
Tendency toward dependent relationships
--- Not Known Very Apparent Frequently Sometimes Rarely Never Apparent
Homosexual relationships
--- Not Known Very Apparent Frequently Sometimes Rarely Never Apparent
Punctual
--- Not Known Very Apparent Frequently Sometimes Rarely Never Apparent
Humble/teachable
--- Not Known Very Apparent Frequently Sometimes Rarely Never Apparent
Adaptable
--- Not Known Very Apparent Frequently Sometimes Rarely Never Apparent
Dependable
--- Not Known Very Apparent Frequently Sometimes Rarely Never Apparent
Mature
--- Not Known Very Apparent Frequently Sometimes Rarely Never Apparent
Ability to communicate
--- Not Known Very Apparent Frequently Sometimes Rarely Never Apparent
Takes initiative
--- Not Known Very Apparent Frequently Sometimes Rarely Never Apparent
If you wish, describe briefly and concretely specific instances which support or interpret your judgments above.
How long have you known the applicant?
Do you have any reservations concerning the personal integrity of the applicant?
Yes No Don't Know
Please select one:
--- Applicant should be accepted Applicant should not be accepted Applicant should be discouraged from pursuing this program I recommend this applicant with reservation. Call me so I can explain.
Would you like to add any additional insight? Yes No
