Teen Reference Form

Confidential Reference Check for Teens

Working With Children or Vulnerable Adults

Questions? Please email Janna Webskowski

Non-custodial Reference form: It is our desire as a church to make our young children and vulnerable adults feel safe and loved and thus ask for a reference for each applicant. Please be honest when filling out our form.

Confidential Reference Check for Teens

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Applicant (Teen Volunteer) Name *

Volunteer Position *

For example, Sunday School Teacher

How Long Have You Known The Applicant? *

For example, 5 years or 4 months.

In What Capacity? *

How do you know the applicant?

Applicants Suitability *

Describe the applicant’s suitability for working with children/youth or vulnerable adult.

Are you aware of anything that would limit the applicant in this position? *

Yes

If yes, please explain why here

Do you think this person is a good role model for children/youth and vulnerable adults? *

Yes

if no, please explain why

Any additional comments?

Please sign here by typing your name *

Date you signed this form *

Month

Day

Year

Leave this field blank

Confidential Reference Check for Teens

Serve

Sharing in the Body of Christ, we seek to Know the heart of Christ, See the face of Christ, and Be the hands of Christ.