Children's Ministry Worker Reference Form
At Covenant Fellowship Church, we desire to offer a safe, excellent, and child friendly atmosphere for all our ministry programs. We ask all volunteers to complete applications and provide recommendations to us through references. Thank you, in advance, for assisting us through your thoughtful responses to this form. All information is held in strict confidence, with limited access to this private information.
Email
*
example@example.com
Name
*
First Name
Last Name
For whom are you responding as a reference?
*
1. How long have you known this applicant?
*
2. What is your relationship to the applicant?
*
Family
Friend
Professional
Other
If other, please explain:
3. How would you rate the applicant's ability to work with children?
*
Above satisfactory
Satisfactory
Below satisfactory
List any concerns regarding the applicant's ability to work with children.
4. We are looking for someone who can stay calm and control frustration even under very frustrating conditions with children. How would you rate the applicant's ability to be patient and stay calm?
*
Above satisfactory
Satisfactory
Below satisfactory
List any concern regarding the applicant's ability to stay calm.
5. Have you ever known the applicant to use harsh or abusive discipline with a child?
*
Yes
No
Explain
Do you know of any reason the applicant would pose a danger to any child?
*
Yes
No
Explain
6. Would you be comfortable placing one of your own children in the care of the applicant?
Yes
No
Explain
7. What are the applicant's hobbies and recreational activities?
*
8. How would you rate the applicant's ability to relate with adults?
Above satisfactory
Satisfactory
Below satisfactory
List any concerns regarding the applicant's ability to relate with adults.
9. We need a person who can be supportive and understanding to a child or student. How would you rate the applicant's ability to be genuinely supportive and understanding to a person in need?
*
Above satisfactory
Satisfactory
Below satisfactory
List any concerns regarding the applicant's ability to be supportive.
10. Are you aware of any significant stressors (ie. death of a loved one, loss of job) recently experienced by the applicant?
Yes
No
Explain
Additional comments, questions, or concerns regarding the applicant.
Submit
Should be Empty: