Thank you for filling out a reference form. It should take around 5 minutes to complete, will be kept in confidence, and go directly to Children's Ministry Director Debbie Wenger.

Name of the teen applying to help with children

First Name

Last Name

Your name

First Name

Last Name

Your Email Address

Phone

(###)

###

####

Any concerns?

This position obviously involves substantial access to children and as a church committed to the welfare and protection of children, we are anxious to know if you have an reason at all to be concerned about this applicant being in contact with children or infants. Please indicate yes or no. If you have indicated yes, we will contact you in confidence.

How long have you known them?

What qualities do they have that make them great children's helpers?

How do they respond to leadership? Can you recall a time when you saw them following direction well?

If you were to judge this person solely on the basis of their social media posts, would you still recommend them?

Would you have them watch your children or grandchildren?

How responsible are they?

On a scale of 1-5 with 5 being the MOST responsible

How mature are they?

On a scale of 1-5 with 5 being the MOST

How motivated are they?

On a scale of 1-5 with 5 being the MOST

How trustworthy are they?

On a scale of 1-5 with 5 being the MOST

How reliable are they?

On a scale of 1-5 with 5 being the MOST

Date

please enter today's date

YYYY

Type your name

By typing your name you are signing and endorsing this reference form. It will be kept in confidence by our Children's Ministry Director and Sr. Pastor.