Volunteer Reference Form | Gateway Community Church

Your name *

Email address *

Address

Phone number *

Name of person you are filling out this reference for: *

How long have you known this person? *

Less than 1 year

1-5 years

5-10 years

More than 10 years

In what capacity have you known this person? *

Have you ever observed this person interact with children? Please describe. *

Do you have personal knowledge, or have you ever heard of this person having any problem with the abuse of drugs, alcohol, sex, or abuse of anything else? *

Can you recommend that this person be in a position of caring for children without any concern, reservation, or hesitation? *

Yes

Please explain: *

Is there any additional information that you think is important for Gateway church to know about this person? *

Thank you for your time and effort in completing this reference form. *

By clicking this box, I am signing that to the best of my knowledge, I believe the above information to be accurate.