Reference (non-children position)

Reference (non-children position)

Reducing the Risk
Your name has been provided as a reference. The individual has applied for either a volunteer position or a paid position. Thank you for taking the time to assist us by providing a reference. This is a confidential document and will be used only by the Ridgedale staff. Please complete the form below to submit your reference. Your answers will be kept in strictest confidence.

The primary responsibilities of our volunteers and employees are being a spiritual leader to those who they come in contact with while working at Ridgedale. Contact Church Administrator at 865.588.6855 with any questions.
I am completing this reference for*

First NameLast Name

Reference (non-children position)

Ridgedale Church
Have you ever observed this applicant with children?*

YESNO
In the event this applicant is working around children are there any concerns we should know about?*

Reference (non-children position)

Ridgedale Church
Do you have any knowledge that the applicant has ever been convicted of a crime?*

YESNO
If yes please explain
Do you know of any lifestyle, behavior, or activity in which this applicant is involved that could hinder his/her ministry with us or hurt Ridgedale's credibility?*

YESNO
If yes please explain

Reference (non-children position)

Ridgedale Church
May we contact you with questions/ clarifications about your responses?*

YESNO
If no please explain why
Phone Number
I affirm and certify that all the information and answers to questions herein are complete, true and correct to the best of my knowledge and belief.
Electronic Signature*

First NameLast Name
Date*

MonthDayYear
Date
Signature

Clear
Should be Empty:

Relationship with Applicant