Summer Staff Reference Form

Summer Staff Reference Form
Summer Team Applicant Information

(Person for whom you are providing the reference)
Full Name of Applicant*

First NameLast Name
Please list the position(s) applicant has applied for:
If you are unsure, please confirm with the applicant.
Your Information
Full Name*

First NameLast Name
I am over the age of 19 years old.*

YesNo
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Please confirm the relationship to the applicant*
Other (Please specify relationship if this was your choice for the above question)
How long have you known this applicant?*
In what ways does the applicant display Christian character?*
Do they have a consistent Christian testimony and influence in the church?*

YesNoUnsure
Do they have a consistent Christian testimony and influence in the community?*

YesNoUnsure
Would they be able to keep a confidence?*

YesNo
How does the applicant respond to authority?
Please list any skills, talents, personality and character strengths you have observed to be an asset.*
Please list any personality or character weaknesses you have observed.*
Describe applicant's work ethic:*
Would you be comfortable to have your children under the direct care of this person?*

YesNo
Why or why not?*
Do you recommend that we accept this applicant

YesWith reservationUnsureNo
Please give a brief statement regarding your recommendation.*
If you have any further information which you feel could be helpful, please email office@dallasvalley.com or call our office at 306-731-3348.
Please sign below.

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Summer Staff Reference Form

Summer Team Applicant Information

Your Information