Youth Application Reference Form

Someone applying to volunteer with Otterbein Church's Youth Ministry has submitted your name as a personal reference. This position will have close contact with young people, and we want to ensure that these relationships will be healthy ones. Please complete the form below to send us your evaluation of this person's character and integrity. Be assured that your response will remain confidential.
Name of Otterbein Volunteer Applicant*

First NameLast Name
Your Name*

First NameLast Name
Your Preferred Phone Number*
Please enter a valid phone number.
Your Email*
example@example.com
Describe your relationship with the OC volunteer applicant.*
How long have you known this person?*
How would you rate this person's peer relationships?*

LowBelow AverageAverageVery GoodExcellent
How would you rate this person's emotional maturity?*

LowBelow AverageAverageVery GoodExcellent
How would you rate this person's conflict resolution?*

LowBelow AverageAverageVery GoodExcellent
How would you rate this person's follow-through on commitments?*

LowBelow AverageAverageVery GoodExcellent
How would you rate this person's spiritual maturity?*

LowBelow AverageAverageVery GoodExcellent
What are this person's greatest strengths?*
Do you have any concerns with this person working with young people?*
Thank You!

Thank you for taking the time to fill out this reference form! If you have any questions regarding this reference, please feel free to contact us at 717-762-1747.
Should be Empty:

Thank You!