Referral Form

Referral Form
Referrer Information
Name

First NameLast Name
Date you filled out the reference

DayMonthYear
Date
E-mail
Phone Number

Area CodePhone Number

Referral Information
Name of person for whom you are filling out the referral.

First NameLast Name
Would you have any concerns whatsoever about this applicant being in contact with children or young people. If yes we will contact you in confidence.
Note:

All information given will remain confidential, and only be shared if necessary on a ‘need to know’ basis, should the applicant be successful. Please be complete and honest in your evaluation of this person.
How long have you known this person?
In what capacity have you known this person?
How would you describe his/her personality? Do they have a teachable spirit?
If you have seen this person in a ministry context, in what ways have you seen them use their spiritual gifts?
Does this person, as far as you know, live and walk in a way that would be a good example to children at camp?
Your assessment of the applicant in the following
Responsibility
Maturity
Self Motivation
Motivating Others
Energy
Trustworthiness
Reliablity
Team Work
In as far as you know the applicant, what would you describe as their key strengths?
In as far as you know the applicant, what would you describe as their key weaknesses?
In your opinion, is the applicant a suitable children/teen camp volunteer?
Is there any other information about the applicant that you think we should know about?
Signature
GDPR:

BCM Ireland is committed to keeping all Information/Data held on all personnel involved with us in accordance with the General Data Protection Regulations. All concerned have the right to ask for and see what information we have held on them.
BCM is a registered charity as CHY 8203 and Registered Charity Number (RCN) 20019778.
Should be Empty:

Referral Form

Referrer Information

Referral Information

Note:

Your assessment of the applicant in the following

GDPR: