Reference Form
Please answer the questions about the applicant as accurately as you can
Parkhills Reference form
This Form is to assist Parkhills Baptist Church in evaluating applicants that will be working within our church's ministries. All volunteers and paid workers must undergo a background check prior to their service with children and senior adults. This reference check is a vital part of this process. Please push the Submit button at the end of this form. Thank you for your information. We appreciate your help!
Name of Applicant
(Required)
First
Last
In what capacity have you know the applicant?
(Required)
How long have you know the applicant?
(Required)
From your knowledge of this person is there anything from their past that would disqualify them from working with or around minors?
(Required)
Yes
No
If "YES" please explain.
Would you trust this person to supervise your own minor children?
(Required)
Yes
No
If “No" please explain.
What characteristics does this person possess that would make them a good role model for minors?
Please answer 1-5 the following statements: I would say the applicant is: (1) Strongly Agree, (2) Agree, (3) Disagree, (4) Strongly Disagree, (5) Don't Know
A person of character
(Required)
1
2
3
4
5
Growing in his/her faith
(Required)
1
2
3
4
5
Honors commitments
(Required)
1
2
3
4
5
Extends kindness
(Required)
1
2
3
4
5
Is a team player
(Required)
1
2
3
4
5
Enjoys Life
(Required)
1
2
3
4
5
Committed to God
(Required)
1
2
3
4
5
Uses common sense
(Required)
1
2
3
4
5
Demonstrates honesty, integrity, and truthfulness
(Required)
1
2
3
4
5
Loves God
(Required)
1
2
3
4
5
I acknowledge that my electronic signature is the legal equivalent of my manual signature on this form.
(Required)
Yes
No
Signature
Your Name
(Required)
First
Last
Phone
(Required)
Date
(Required)
MM slash DD slash YYYY