Minor Character Reference
Dear Reference,The following individual has applied to work with Child Evangelism Fellowship® as a volunteer. He/she will be working with elementary age children throughout the local area. Please complete this reference form and submit asap. Thank You!
Name of minor who is applying
*
check the email for name
Your Name
First Name
Last Name
First Name of applicant
*
Last Name of Applicant
*
Chapter where applicant lives
East Central (Green Bay)
Greater Madison (Madison, Janesville)
North Central (Wausau, Wisconsin Rapids)
Southeast (Milwaukee, Racine)
St. Croix Valley (Hudson, Northwestern)
Upper Fox River (Portage, Beaver Dam)
Western Wisconsin (LaCrosse, Tomah)
Unknown
Chapter
Back
Next
Character Reference Section
Have you seen evidence of his/her salvation?
*
Yes
No
Please give an example of that evidence (Describe this person's Christian testimony).
*
Separation from the world unto the Lord
*
Excellent
Good
Fair
Poor
Unknown
Servant Leadership Qualities
Willingness to accept responsibility when called upon
*
Excellent
Good
Fair
Poor
Unknown
Burden to reach the lost
*
Excellent
Good
Fair
Poor
Unknown
Ability to get along with others
*
Excellent
Good
Fair
Poor
Unknown
Please select your relationship to the applicant below.
*
Pastor
Friend
Family
Back
Next
Your Church
Applicant has served as____________in the local church.
Answer according to previous question and the task that was stated.
Excellent
Good
Fair
Poor
Unknown
*Our church will pray for and encourage this person and give opportunity to report on his/her activities in front of our congregation.
Yes
No
Your Church Name:
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Back
Next
Your Recommendation
When this person works with children there should always be another screened person present, however, children and the parents of children need to be sure of their children’s safety when this individual is involved in their lives. Please consider and answer the following questions carefully, honestly and to the best of your knowledge.
Do you know of any reason that this individual should not be working with children in any setting, supervised or unsupervised? (If yes, please select "other" and explain.)
*
No
Other
Would you place your children in a situation where they would have contact with this person?
*
Yes
No
Other
I have known the applicant for _____ years.
*
Do you recommend him/her to work with Child Evangelism Fellowship.
*
Yes
No
Back
Next
Contact information
This will help us be able to contact you in-case we have any further questions concerning this student. Thank you for taking time to complete this reference.
Signature
*
Your Name
*
First Name
Last Name
Your Email
example@example.com
Your Phone Number
-
Area Code
Phone Number
Today's date
-
Year
-
Month
Day
Date
File Name
Submit
Should be Empty: