Refer Someone

for the Empowered International Training Program

Refer Someone

YOUR INFORMATION

First Name

Last Name

Phone

Select

How long have you known the applicant? (Konbyen tan ou konnen moun ki aplike a?)

10+ years (ane)

5-10 years(ane)

1-5 years(ane)

less than a year(mwens ke yon ane)

How do you know the applicant? (Kijan ou fe rekonet moun ki aplike a?)

friend(zanmi Mwen)

family(se Fanmi mwen)

co worker( travay menm kote)

church(mache nan menm legliz)

How would you characterize the applicant's spiritual life? (Kijan de moun ou panse moun ki aplike a ye?)

What would you say are the applicant's strengths? (Kisa ou ka di ki se fos aplikan an?)

What would you say are the applicant's weaknesses? (Kisa ou ka di kise febles aplikan an?)

How well does this person interact with others? (eske moun sa kominike byen avek lot moun?)

Are there any spiritual, physical, or emotional issues that we should consider in reviewing this applicant? (Eske moun sa gen okenn spirityel,fizik e emosyonel nou dwe konnen?)

What else would you like us to know about your referral? (Kisa anplis ou vle nou konnen de moun ou refere a?)