Reference Check (working with minors)

Reference (working with minors)

Reducing The Risk
Your name has been provided as a reference. The individual has applied for either a volunteer position or a paid position with our children/student's or Mother's Day Out Ministry. As a condition of volunteering or employment, we require three (3) references. 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. Please complete the information below.

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 Name Last Name
Reference (working with minors)

Reducing The Risk
Your Name *

First Name Last Name
Today's Date *

Month Day Year
Date Date Picker Icon
Phone Number *
E-mail *

Applicant's Experience

with children and students
Have you observed him/her with children and/or students? If yes, please provide a brief description. *

YES NO
If yes, please provide a brief description.
How would you describe the applicant's ability to relate to children and/or students? *
How would you feel about having the applicant as a volunteer worker / employee with your child and/or student? *

Ability to Work with Children
Do you know of any characteristics or circumstances that would negatively affect the applicant's ability to work with children and/or students? *

No Yes
If yes please explain

Reference (working with minors)

Reducing the Risk - Ridgdale Baptist Church
Do you have any knowledge that the applicant has ever been convicted of a crime? *

NO YES
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? *

YES NO
If yes please explain

Reference (working with minors)

Reducing the Risk - Ridgdale Baptist Church
May we contact you with questions/ clarifications about your responses? *

YES NO
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 Name Last Name
Date *

Month Day Year
Date Date Picker Icon
Signature

Clear
Should be Empty:

Reference (working with minors)