Connect Church Reference Form

1. Please type in the name of the Volunteer Applicant.

This is not your name. This is the person you are going to tell us about.

2. How many years have you known this applicant?

3. In what capacity do you know this applicant?

4. How well do you know this applicant?

5. Describe this applicant's relationship with children.

6. Why do you think this person would be a good fit for our Connect Kidz ministry?

7. Why do you think this person would be great to work with children?

8. Would you be comfortable having this applicant work with your child or a child close to you?

Yes

9. Do you know of or suspect any inappropriate physical encounter of sexual relations that has occurred between the applicant and a minor?

Yes

10. If needed, please explain your answers from #8 and #9.

11. If needed, please add any significant information or impressions that have not been brought out by the preceding questions.

12. How would you recommend the applicant?

Highly Recommended

Recommend with Reservations

Do Not Recommend

Signature (First and Last Name)

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