Confidential Reference Form for Employee Applicants and Volunteers Working with Children and Youth
Appendix B of the Policy for the Protection of Children and Youth St. Paul’s Episcopal Church, Mt. Lebanon, PA
Your Name
*
First Name
Last Name
Person you are serving as a reference for
*
First Name
Last Name
How long have you known the applicant?
*
In what capacity do you know the applicant?
*
Describe the applicant’s reliability.
*
Are you aware of any issues that would limit the applicant’s ability to fulfill their obligations as a volunteer? If yes, please explain. (If no please type "No").
*
Do you recommend this applicant for work with children (individuals ages pre-k through 18)? Please explain.
*
Do you recommend this applicant for work in a Church? Please explain.
*
Submit
Should be Empty: