Reference form for:*

We desire people with enthusiasm, energy, initiative, maturity, sensitivity, and a superior ability to get along with both children and adults. Duties will include close contact with young people. Applicants will be put in a position as a role model to impressionable 6-14 year old children. Because of the sensitivity and importance of a position working with young people, we would appreciate your candid opinion of this applicant.

How long have you known the applicant?*

In what capacity?*

Please evaluate the following traits

All Fields Are Required

Maturity*

Loyalty*

Dependability*

Honesty*

Initiative*

Leadership*

Ability to get along*

Cooperation*

Communication Skills*

Patience*

Concern for others*

Self-Confidence*

Enthusiasm*

Energy*

Health*

Teaching Ability*

Appearance*

Would you place your child under the leadership of this applicant?*

Do you know of any personal habits, behaviors, or other circumstances (drugs, alcohol, criminal history, past convictions with children) which would in your opinion disqualify the applicant for the position of guiding and instructing young boys? If yes please explain.*

We depend on third party references in our decision process. Any further, more explicit comment you wish to share below will be gratefully appreciated and kept in the strictest confidence.*

Your general estimate*

Your Name*

First Last

Daytime Phone

Date*

Respondent Email*

Reference Form

Reference Form

Please evaluate the following traits