Safe Sanctuary Character Reference Questionnaire
This form must be completed by a person who is not a relative of the applicant. The person providing the reference must have known the applicant for at least two year.
Reference Name: *
Reference Email *
Reference Phone *
1) What is your relationship to the applicant? *
1 point
2) How long have you known the applicant? *
1 point
3) How well do you know the applicant? *
1 point
4) How would you describe the applicant? *
1 point
5) How would you describe the applicant's ability to relate to children and/or youth? *
1 point
6) How would you describe the applicant's ability to relate to adults? *
1 point
7) How would you describe the applicant's leadership abilities? *
1 point
8) How would you feel about having the applicant as a worker with your child and/or youth? *
1 point
9) Do you know of any characteristics that would negatively affect the applicant's ability to work with children and or youth? If so, please describe. *
1 point
10) Do you have any knowledge that the applicant has ever been convicted of a crime? If so, please describe. *
1 point
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