Church Leader/Helper Reference Form

You have been nominated as someone who could provide a brief personal reference for a person who has applied to work at St Andrew’s Church as a volunteer.

This form is strictly confidential and, except under compulsion of law, will be seen only by administrators appointed by St Andrew’s Church.

Reporting to

Date of Submission

Date

About You

Your Name

Your Email

About the Applicant

Applicant Name

Questions

In what capacity do you know the applicant?

How long have you known the applicant?

In your opinion, is the applicant able to work as part of a team?

Not able to work as part of a team because

In your opinion, is the applicant considered responsible?

Not considered responsible because

To your knowledge has the applicant’s conduct ever caused mental/physical harm to a child or young person or vulberable adults or adults, or put a child at risk of harm?

Additional comments

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