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 *
Name of the teen applying to help with children
Your name *
Your name
Phone *
Phone
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.
On a scale of 1-5 with 5 being the MOST responsible
On a scale of 1-5 with 5 being the MOST
On a scale of 1-5 with 5 being the MOST
On a scale of 1-5 with 5 being the MOST
On a scale of 1-5 with 5 being the MOST
Date *
Date
please enter today's date
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.