REFEREE-1 QUESTIONNAIRE

Applicants Details

First Name

Last Name

Mobile Number

Middle Name

Preferred Name

Email Address

Referee's Details

Full Name

Date form was provided to Referee

Mobile Number

Thank you for taking the time to complete the questionnaire below. The questions that follow are to assist us with determining if the above applicant is suitable to work at The Reconcile Church.

How long have you known the applicant?

What is your relationship to the applicant?

Please comment on any skills and characteristics the applicant may have making them suitable to care for and take responsibility for the safety of children and young people.

Please give a brief description of the applicant's personality and character.

In your view, what are

a) Strengths?

b) Weaknesses?

How do you think the applicant would respond to working:

Under the leadership of a Team Leader?

As a member of a team?

With members of the opposite sex?

How strongly would you recommend this person for work with children and young people? (please tick one)

To the best of your knowledge is there any reason the applicant would be considered unsuitable to work with children and young people?

Any other comments that may assist us in determining the applicant's suitability?