gracekids and transform reference response form

The individual named below has expressed an interest in working with children or youth at Grace Community Church. The candidate has listed you as a reference. In order for our church to properly evaluate the qualifications of this worker candidate, we are asking you to complete this form with your honest opinions and impressions of the candidate. This information will be kept confidential. Thank you for your time.

Your Name

Name of Ministry Reference

First Name

Last Name

Your Phone

(###)

###

####

Your Email Address

For

Name of Worker Candidate

First Name

Last Name

How long have you known the ministry worker candidate?

In what capacity have you come to know this individual?

i.e. coworker, friend, etc.

What are some of his/her strengths that you have observed?

In your opinion, is the above worker candidate qualified to work with children or youth?

Yes

If you answered no on the previous questions, please explain.

What concerns, if any, would you have in allowing this individual to work with children or youth?

Are you aware of anything in the candidate's background, personality, or behavior that could in any way pose a threat to children or youth?

If you answered yes to the previous questions, please explain.

Would you trust the care of your children to this person?

Please feel free to add any additional comments about the applicant.

Signature

The above information is true and correct to the best of my knowledge. By entering my full name here, I recognize that this is the equivalent of my legal signature.

Date

YYYY

If you have any questions or concerns, please contact Amy Thompson at amy@gccnewton.com or 316-283-2554. Thank you!