Chi Rho Corps Member Application: Personal Reference

Note: Chi Rho Catholic Service Corps seeks college graduates to devote one year to inner-city public
service work, and to live in Christian community with other corps members.  The applicant has asked you
to help us assess his or her applicability to this type of lifestyle and work.  Please answer all questions as
fully as possible.  If you need more room, please attach sheets as needed.  

Return completed forms to:

Todd Tesoro
Chi Rho Catholic Service Corps
15 Eld Street
New Haven, CT 06511

Applicant’s name:_________________________________________________________

How long have you known the applicant, and in what capacity?





What are the applicant’s greatest strengths?





What are the applicant’s most significant weaknesses?





How would you describe the applicant’s personality?  How effectively does she or he interact with others?




Describe the applicant’s work habits.  How effectively does he or she handle conflicts and problem
situations?




How well-suited is the applicant to working with the needy of the inner city?  Please explain.




How well-suited is the applicant to living simply in a community?  Please explain.





On a scale of 1 to 5 (with 5 being highest), how would you rate the applicant in these areas?

Honesty and Integrity                ___                
Open-mindedness                    ___
Dependability                            ___               
Creativity                                   ___
Emotional Stability                    ___                
Level of Religious Practice        ___
Maturity                                     ___               
Christian Values                        ___
Ability to Work with Others        ___               
Health and Stamina                   ___

How do you recommend the applicant?        
___ Highly                ___ With reservations                __ Not Recommended

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Signature                                        Date                        Telephone Number