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Personal Reference Form
Please submit the following online personal reference form on behalf of the applicant.
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Applicant's Name:
*
Your answer
How long and in what capacity have you known the applicant?
*
Your answer
As you may understand it, please give a brief assessment of the applicant's relationship with God:
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Your answer
Please describe any gifts, strengths, and abilities that qualify the applicant to work with children/teens:
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Your answer
Do you have any knowledge of the applicant ever being involved in or accused, charged, or convicted of child abuse, or an incident involving actual or attempted sexual abuse?
*
Yes
No
Required
If yes, please explain:
Your answer
To the best of your knowledge, does the applicant have any medical condition or communicable disease that, due to its nature, might endanger children?
*
Yes
No
Required
If yes, please describe:
Your answer
Do you know of anything that would disqualify the applicant from working with children or teens?
*
Yes
No
Required
If yes, please explain what would disqualify them:
Your answer
If you had children, would you feel comfortable having the applicant work with them?
*
Yes
No
If no, please explain:
Your answer
By typing in your full name, you confirm the truthfulness of the information provided in this application and agree that this constitutes a legal signature:
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Your answer
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