Thank you

        for taking the time to fill out this reference form. We take special care in choosing applicants who are spiritually, emotionally, and mentally ready for MSM. We believe that the timing of entering into a program like MSM is vital for growth during the program and absorption of transformation after MSM. We thank you for your honesty about the applicant.

MSM Leadership 


Personal reference

Applicant Name *
Applicant Name
Your Name *
Your Name
Church Name/Denomination/Address
If no, explain
This includes curfews, abstaining from social media, substances, academic demands, spiritual development sessions, inner healing, and intense discipleship
In areas of reliability, honesty, character, coping habits, etc.
If yes, please explain
Drinking, drug use, sexual activity, pornography, lying, cheating, or abusive situations. If yes, please explain
Please explain
Please rank your observation of the applicant in the following areas *
Please rank your observation of the applicant in the following areas
Is personally motivated
Has healthy coping mechanisms
Has a positive attitude
Is emotionally mature
Is committed to growing spiritually
Has high standards
Is honest
Is transparent
Has a servant heart
Communicates well
Has leadership ability
Is teachable
Follows instructions well