LCPC Youth Ministry
Youth Ministry Reference Form
Please fill out this form if an applicant to our program has asked you to fill out a reference for them.
Person you are filling out the Reference for:
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First
Last
Your Name
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First
Last
Your Phone Number
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Your Email
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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):
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Please describe the applicant's strengths.
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Please describe the applicant's weaknesses.
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Describe his/her Christian faith as you see it:
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Please use the following scale to respond to the following questions:
low :: below average :: average :: very good :: excellent
Involvement in peer relationships?
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low
below average
average
very good
excellent
Emotional maturity?
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low
below average
average
very good
excellent
Conflict Resolution?
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low
below average
average
very good
excellent
Following through with commitments?
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low
below average
average
very good
excellent
Spiritual maturity?
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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:
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with enthusiasm
with little reservation
with reservation
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