References

Your Name (required)

Address (required)

City (required)

State (required)

Zip (required)

Telephone Day (required)

Telephone Evening (required)

Your Email (required)

Reference for: (required)

How long have you known the applicant? (required)

Relationship to Applicant: (required)

Position (required)

Recommended? (Yes or No) (required)

Childcare warning? (Yes or No) (required)

Please rate the applicant's communication (required)
 Excellent Good Fair Poor

Please rate the applicant's ability to relate to youth (required)
 Excellent Good Fair Poor

Please rate the applicant's cooperation (required)
 Excellent Good Fair Poor

Please rate the applicant's emotional stability (required)
 Excellent Good Fair Poor

Please rate the applicant's initiative (required)
 Excellent Good Fair Poor

Please rate the applicant's judgement and common sense (required)
 Excellent Good Fair Poor

Please rate the applicant's leadership (required)
 Excellent Good Fair Poor

Please rate the applicant's manner/personal appearance (required)
 Excellent Good Fair Poor

Please rate the applicant's reliability (required)
 Excellent Good Fair Poor

Please describe the applicant's general nature (required)

Please list the applicant's strengths (required)

Please list the applicant's weaknesses (required)

Additional Information:

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