CMU, 500 Shaftesbury Blvd., Winnipeg, MB, Canada R3P 2N2 | Tel: 204.487.3300 • 1.877.231.4570 | Fax: 204.487.3858 | www.cmu.ca
5. How would you rate this person in terms of the following characteristics?
(0-unknown; 1-very poor; 2-poor; 3-fair; 4-good; 5-excellent)
Rating Comments
Cooperation ______ ______________________________________________
Dependability ______ ______________________________________________
Physical health ______ ______________________________________________
Emotional health ______ ______________________________________________
Motivation ______ ______________________________________________
Oral skills ______ ______________________________________________
Academic ability ______ ______________________________________________
Leadership ______ ______________________________________________
Problem solving skills ______ ______________________________________________
Understanding of abilities/limits ______ ______________________________________________
Christian commitment ______ ______________________________________________
6. Additional comments: Some points on which you might comment include the applicant’s maturity, self-
evaluation, dependence/independence issues, home background, lifestyle, adaptability, inter-personal
relationships, church involvements, and vocational aptitude.
Name: _____________________________________ Phone: _____________________________
Address: ______________________________________________________________________________________
Occupation: ______________________________________ Email: ____________________________________
Signature: ________________________________________ Date: ____________________________
click to sign
signature
click to edit