Staff Reference Form

*Denotes Required Field

Name of the Applicant (The individual you are providing the reference for)

Your Name

Your Phone ( ) -

Your Email

Date the form is filled out and submitted

How do you know the applicant? (Employment, Church, School, Sports, etc)

What would you describe their character and/or personality like? Serious/thoughtful, Fun/carefree, Conscientious/hard-working? Or?

Have you had an opportunity to see how they respond to authority? If so, what were your observations?

If they were to be in a leadership position, what do you think their leadership style would be? (Initiator, Passive, Manipulator, Indifferent, Collaborator/team builder, Observer)

Can you give me an example of their leadership experience?

How well do you think they can function in a team environment with those of differing ages, cultures, and personalities?

How would you describe them as a person? Approachability, tact, friendliness, extrovert vs introvert.

On a scale of 1-5, with 1 being very unstable and 5 being unshakable, how would you describe their day-to-day emotional stability?

Do they have any habits or lifestyle choices that you think would be of concern in a role where they are working with youth?

How would you describe, from your observations, what their relationship with God is like? Have you noticed anything in their life that would convince you that their faith is important to them?

Can you share any specific positive or negative influence or impact they have had on others in a spiritual sense or regarding life choices or decisions?

Would you hire them to work with your children?

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