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Volunteer Reference form
Your Information
Today's Date
Your First Name
Your Last Name
Email
Phone Number
Applicant's information
Applicant's First Name
Applicant's Last Name
How long have you known the applicant?
In what capacity?
Reference Evaluation
Please evaluate the applicant on a scale of 1 to 5 (1 representing the lowest capacity and 5 representing the highest capacity).
Emotional Balance
1
2
3
4
5
Trustworthiness
1
2
3
4
5
Ability to get along with others
1
2
3
4
5
Patience
1
2
3
4
5
Flexibility
1
2
3
4
5
Capacity to work with children
1
2
3
4
5
I don't know
Capacity to work with teenagers
1
2
3
4
5
I don't know
Have you seen this person grow in their Christian faith? If so, how?
To the best of your knowledge, has this person ever participated in, been accused or convicted of, or pleaded guilty or no contest to, abuse or sexual misconduct?
Yes
No
To the best of your knowledge, has this person ever been convicted of, or pleaded guilty or no contest to, any criminal offense?
Yes
No
Are you aware of anything negative, related to this person's past or present character, that would inform our decision to entrust this person with the care of minors?
Yes
No
If you answered "yes" on any question above, please explain:
Is there anything else you think we should know related to this person's application to work with minors at Canyons Church?
Submit