Confidential Reference Check "*" indicates required fields Applicant's Name* First Last Reference's Name* First Last Reference's Email* TitleDate* MM slash DD slash YYYY How long have you known the applicant?In what capacity?Please evaluate the applicant on a scale of 1 to 10 (1 represents not recommended and 10 represents highly recommended). Emotional Balance:*12345678910Trustworthiness:*12345678910Ability to get along with others:*12345678910Patience:*12345678910Flexibility:*12345678910Capacity to work with kids:*12345678910Capacity to work with youth:*12345678910 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?*YesNoTo the best of your knowledge, has this person ever been convicted of, or pleaded guilty or no contest to, a criminal offense of any kind?*YesNoHave you seen this person grow in their faith? How?*Additional Comments:NameThis field is for validation purposes and should be left unchanged. Δ
