NBC Children's/Youth Ministry Reference

The person who sent you the link to this form is applying to become a part of the children's and/or youth ministry at Neighborhood Bible Church and has given your name as a personal reference.

The person in this leadership position will be in close contact with children and/or students, and we want to ensure that these relationships will be healthy ones. Please complete the form below to give us your evaluation of this person’s character and integrity. Your response will remain confidential.

Applicant's Name*

First NameLast Name

Ministry/ministries applying for:*

Family Ministry (nursery, preK, elementary)youth ministry (middle school, high school)Childrens WorkerI'm not sure.

In what capacity have you known this person? For how long?*

How would you rate the applicant in regards to...*

	Low	Below Average	Average	Very Good	Excellent	Not Sure
Involvement in peer relationships?
Emotional maturity?
Skill in resolving conflict?
Ability to follow through with commitments?
Ability to relate to children/students?
Spiritual maturity?

What are the applicant's greatest strengths?*

What are the applicant's greatest weaknesses?*

Do you have concerns regarding this person working with children/students?*

NoYes

Please explain.*

May we contact you for further follow-up (if necessary)?*

NoYes

Your Name*

First NameLast Name

Your Email

Best phone number to reach you

This is a _________ number.

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