Personal Reference Form
Please submit the following online personal reference form on behalf of the applicant.
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Applicant's Name: *
How long and in what capacity have you known the applicant? *
As you may understand it, please give a brief assessment of the applicant's relationship with God: *
Please describe any gifts, strengths, and abilities that qualify the applicant to work with children/teens: *
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? *
If yes, please explain:
To the best of your knowledge, does the applicant have any medical condition or communicable disease that, due to its nature, might endanger children? *
If yes, please describe:
Do you know of anything that would disqualify the applicant from working with children or teens? *
If yes, please explain what would disqualify them:
If you had children, would you feel comfortable having the applicant work with them? *
If no, please explain:
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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