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Kids Ministry Reference Check
15171 Tuolumne Road, Sonora, CA / 209-532-1381
Your First Name
Your Last Name
Phone Number
You were given as a personal reference by someone interested in participating in our Kids' Ministries at Sierra Bible Church. We would appreciate it so much if you would take a minute and, to the best of your ability, answer the following questions. Please, give your honest evaluation in regards to the character, integrity, and suitability of this individual for working with kids. All responses are kept confidential. Please return the reference form within 10 days. If you have any questions, please call. With Appreciation, The Kids' Ministries Team
Individual Wanting To Volunteer
First Name
Last Name
How long have you known the individual?
How do you know this person?
Please use the scale to answer the following questions. 0=Do not know 1-2=Low 3-4=Average 5=High
How would you rate his/her ability to get along with adults and co-workers?
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5
How would you rate his/her ability to relate and interact with kids?
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5
How would you rate his/her childcare skills?
0
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5
How would you rate his/her level of commitment?
0
1
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5
Please answer the following to the best of your ability.
Are you aware of any social problems that would make thisindividual unsuitable to work with kids?
Are you aware of any criminal offenses?
Would you leave your child in the care of this applicant?
Do you have any additional comments?
By typing your name you are agreeing the the information you provided is true and accurate.
First Name
Last Name
Submit
