Staff Reference Form

* Indicates required field

Reference for (name of) staff or volunteer *

First

Last

My Name *

First

Last

My email *

My Phone Number *

How long have you know the applicant? *

How do you know the applicant? *

Strengths of the applicant *

Please explain the evidence of their faith in Jesus *

Weaknesses of the applicant? *

In what ways is the applicant involved in their local church and ministry? *

Would you trust the applicant to work with children? *

Why or why not? *

To your knowledge, has the applicant ever been accused or convicted of any form of abuse or neglect? *

Yes No

If yes please explain. *

What is your recommendation regarding this applicant? *

Submit

Mailing address
PO Box 1214, Ellsworth, ME 04605
located in Charlotte Maine