Plan to Protect Reference Form

We have a program in our church called Plan to Protect which is designed to protect our children and youth as well as our volunteers. We do a reference check on all our volunteers working in our ministries.

Your response will remain confidential. After you have finished filling in your response, please click Submit button below.

Thank you for helping.

Your name *

Email address *

APPLICANT'S INFORMATION *

I am willing to act as a personal reference to the following applicant who has applied to be volunteer in SCCEFC children and youth ministries.

Applicant's Name

REFERENCE'S ADDITIONAL INFORMATION

Phone Number & Address

REFERENCE'S RESPONSE

1. Describe your relationship with the applicant *

2. How long have you know the applicant? (years / months) *

3a. Rate the applicant: Ability to work with other volunteers *

3b. Rate the applicant: Ability to follow through on commitments *

3c. Rate the applicant: Ability to relate to children or youth *

3d. Rate the applicant: Level of spiritual maturity *

4. What are the applicants greatest strengths? *

5. Would you entrust the care of your child or youth to the applicant without any concern, reservation or hesitation? *

6. Do you have concerns regarding the applicant working with children or youth? If so, please explain. *

REFERENCE'S SIGNATURE

You are providing personal information on this form and you are expressly consenting to release it for the purposes stated herein.

Authorize this form by entering your Printed Name as a digital equivalent to your signature:

Signature (print your name) *

Date signed *

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