LCPC Youth Ministry

Person you are filling out the Reference for: * First Last
Your Name * First Last
Your Phone Number * ### - ### - ####
Your Email *

This allows us to follow up with any questions that we may have
Describe your relationship with this person & (including how long you have known him/her): *
Please describe the applicant's strengths. *
Please describe the applicant's weaknesses. *
Describe his/her Christian faith as you see it: *
Please use the following scale to respond to the following questions:

low :: below average :: average :: very good :: excellent
Involvement in peer relationships? *
low below average average very good excellent
Emotional maturity? *
low below average average very good excellent
Conflict Resolution? *
low below average average very good excellent
Following through with commitments? *
low below average average very good excellent
Spiritual maturity? *
low below average average very good excellent
Do you have any concerns regarding this person working with students? If so, please explain.
I recommend this applicant: *
with enthusiasm with little reservation with reservation
Do Not Fill This Out