Leadership Evaluation Form
Required Required Question(s)

This Leadership Evaluation Form is to be filled out confidentially by someone who has given leadership (ie. pastor, mentor, employer) to the individual applying for student or staff position within CRI.  Your honest evaluation is needed in order to place the right people in the places that best suit them.

The applicant must be able to accommodate himself/herself readily to unaccustomed living conditions and new social situations. Adjustment may have to be made as to diet, social customs, climate changes, and stress.  Keep in mind the challenge of the unusual demands that intense training, living in close community, crisis and disaster response, theaters of war and terrorism bring. All of your feedback will be kept strictly confidential. 
Thank you for your assistance. 

 

 

 

 

 

 

 
Required 1.

Applicant's name and school or position applied for?

 

 

 

  • 50 characters left.
Required 2.

Please enter your personal information below.

 

 

First Name:
Last Name:
Job Title:
Company Name:
Work Phone:
Email Address:
emailaddress@xyz.com
Address 1:
Address 2:
City:
State/Province
(US/Canada):
Postal Code:
Country:

Required 3.

Would you be willing and available to answer additional information by phone if needed?

 

 

 

 

Yes
No
Other  
Required 4.

In what manner did you work and/or give leadership to this individual? Please add additional comments below.

 

 

 

Work Environment
Church Environment
School Environment
Mentor
Other  
  • Comment:

  • 500 characters left.
Required 5.

How long did you know and were involved with the applicant in this context?

 

 

 

 

Less than a year
1 year or more
3 years or more
5 years or more
10 years or more
Other  
  • Comment:

  • 500 characters left.
Required 6.

Does this individual have the ability in this season to learn and work alongside others in a high intensity, community setting? If not, why?

 

 

 

 

 

 

Yes
No
I have some reservations
I would strongly discourage this
Other  
  • Comment:

  • 500 characters left.
Required 7.

What would you recommend for this individual regarding personal growth, or issues they may that he/she may need to deal with? Check the boxes that apply and please add additional comments in the box below.

 

 

 

 

 

 

 

 

 

Strengthen relational or social skills.
Develop greater follow through on projects.
Deal with family or marital issues.
Seek inner-healing or deliverance.
Seek basic discipleship.
Work through issues with leadership.
Work through grief, loss or personal trauma.
Get financially stable.
Work through forgiveness issue with self or others.
Other  
  • Comment:

  • 500 characters left.
Required 8.

Physical Condition:

 

Poor Fair Average Good Excellent       
      
  • Comment:

  • 500 characters left.
Required 9.

Ability to formulate, execute or carry plans to fullfilment:

 

 

 

Poor Fair Average Good Excellent       
      
  • Comment:

  • 500 characters left.
Required 10.

Emotional Resilience: 

 

 

 

 

Gets angry, impulsive or withdrawn.
Gets discouraged easily.
Responds constructively in challenging circumstances.
Ability to lead well and motivate others in most circumstances
Other  
  • Comment:

  • 500 characters left.
Required 11.

Social Interaction:

 

 

Avoided most of the time by others
Tolerated by others
Liked by others
Liked very much by others and sought out
Other  
  • Comment:

  • 500 characters left.
Required 12.

Willingness to serve:

 

 

 

Reluctant
Motives may be confused
Usually willing to serve
Eager to serve as needed
Other  
  • Comment:

  • 500 characters left.
Required 13.

Teamwork:

 

 

 

Insists on own way
Reluctant
Cooperative
Works very well with others
Energized by teamwork
Other  
  • Comment:

  • 500 characters left.
Required 14.

Leadership abilities:

 

 

 

Unqualified to lead
Leads out of hurt or control
Tries but lacks ability
Has some developing leadership capabilities
Has an exceptional leadership gift
Other  
  • Comment:

  • 500 characters left.
Required 15.

Intelligence:

 

 

 

 

Learns and thinks slowly
Average
Exceptionally bright
Other  
  • Comment:

  • 500 characters left.
Required 16.

Emotional Intelligence :

 

 

 

 

 

 

Self absorbed
Dull
Generally sensitive to others
Very considerate and sensitive to others
Overly sensitive to others and is often debilitated
Other  
  • Comment:

  • 500 characters left.
Required 17.

Christian experience:

 

 

 

 

 

 

Superficial
Harsh and legalistic
Over-emotional
Whacky / Kind of off
Warm and others are drawn to
Rich and growing
Other  
  • Comment:

  • 500 characters left.
Required 18.

How well does the individual exhibit these qualities?

 

 Never Sometimes Most times Always  
Love  
Timeliness  
Humility  
Gentleness  
Generosity  
Servanthood  
Honor and Respect  
Joy  
Good work ethic  
Teachability  
  • Comment:

  • 500 characters left.
Required 19.

How well does the individual exhibit these additional qualities?

 

 

 

 Never Sometimes Most times Always  
Flexibility  
Supernatural lifestyle  
Motivation  
Purity  
Pastoral heart  
Compassion  
Responsibility  
Maturity  
Prayerfulness  
Gratitude  
  • Comment:

  • 500 characters left.
Required 20.

What would you say the individual's strengths are in a work or community environment?

 

 

 

  • 350 characters left.
Required 21.

How do you feel this individual may fit with the progam applied for?

 

 

 

 

  • 350 characters left.
Required 22.

What unique quality do you feel this individual will bring to the organization or school overall?

 

 

 

 

 

  • 350 characters left.
Required 23.

How often have you seen the following characteristics in the individual's life?

 

 

 Never Seldom Often Very Often  
Anger / Rage  
Bitterness  
Envy  
Anxiety  
Offense  
Rejection  
Pride  
Depression  
Gossip  
Rebellion  
  • Comment:

  • 500 characters left.
Required 24.

How often have you seen these addtional characteristics in the individual?

 

 Never Seldom Often Very Often  
Slothfulness  
Unhealthy habits  
Defensiveness  
Blame shifting  
Selfishness  
Fear  
Dishonesty  
Complaining  
Divisiveness  
Pessimism  
  • Comment:

  • 500 characters left.
Required 25.

Please give an overview of this person's character and commitment to God?

 

 

 

 

  • 350 characters left.
Required 26.

Do you feel like this person is a good fit for this school at this time? Please explain.

 

 

 

 

  • 350 characters left.