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H Y C
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Reference Form
Confidential Staff Reference Form:
Please complete the form below
Your Name
*
First Name
Last Name
Email Address
*
Name of Applicant
*
First Name
Last Name
How long have you known the applicant and in what context?
*
What are the first words to come to mind to describe this applicant?
*
How would you describe their relationship with Jesus Christ?
*
Is this person capable of teaching others about Salvation and Growth in the Christian life? (Please list examples)
*
Will the applicant willingly submit to authority and the standards of HYC?
*
Yes
No
Please score the applicant on the following qualifications.
*
Loyalty
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Dedication
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Character
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Enthusiasm
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Love for People
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Leadership Ability
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Empathy
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Vulnerability
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Drive
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Humility
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Would you want your children placed under the direction and influence of this individual for a week?
*
Yes
No
Do you recommend this applicant as a member of the HYC Staff?
*
Highly Recommend
Recommend
Recommend with Reservation
Do not Recommend
Thank you!