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Chi Rho Corps Member Application: Self Reference
Note to Applicants: As part of the application process, we ask that you complete this self-reference and return it with your application.
Please answer all questions as fully as possible. Attach extra sheets if necessary.
Return completed form to:
Todd Tesoro
Chi Rho Catholic Service Corps
15 Eld Street
New Haven, CT 06511
Your name:_________________________________________________________
What are your greatest strengths?
What are your most significant weaknesses?
How would you describe your personality? How effectively do you interact with others?
Describe your work habits. How effectively do you handle conflicts and problem situations?
How well-suited are you to working with the needy of the inner city? Please explain.
How well-suited are you to living simply in a community? Please explain.
On a scale of 1 to 5 (with 5 being highest) how would you rate yourself 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 yourself? ___ Highly ___ With reservations __ Not Recommended
________________________________________________________________________ Signature Date Telephone Number
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