Reference Form

An applicant has applied to be a volunteer in our ministries and has indicated on his/her application that you might be willing to act as a personal reference. We have a program in our church called Plan to Protect which is designed to protect our children and youth as well as our volunteers. We do a reference check on all our volunteers working in our ministries. Your response will remain confidential. Thank you for your cooperation.

Your Name(*)

Please let us know your name.

Your Email(*)

Please let us know your email address.

Applicant Name(*)

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This is the person for whom you are filling out this reference form.

How long have you known the candidate?(*)

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In what capacity do you know the candidate?(*)

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What is the significant accomplishment that you have observed the candidate has made?(*)

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What three primary ways or opportunities do you believe the candidate needs to grow and develop in?(*)

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What are the top three strengths of the candidate?(*)

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Would you entrust your children into the care of this individual? If no, why or why not?(*)

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Have you ever observed or heard anything about this candidate that would make you reluctant to recommend him/her for a job with children?(*)

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How would you rank the candidate 1. Being intensely low and 5. Being intensely high in the following areas.

Making sound judgment calls(*)

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Ability to influence others in a positive manner(*)

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Ability to prioritize the care and development of children(*)

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Ability to display energy at all times(*)

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Ability to work well within a team setting(*)

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Ability to work independently (*)

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Ability to stay on task and be organized(*)

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Is there anything else that you believe is important for us to know about the candidate in our consideration of hiring them to work with children and youth?

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(*)

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Church Reference Questions