Reference Check

Your Name(Required)

First Last

Email(Required)

Phone(Required)

Name of individual for whom you're providing a reference(Required)

First Last

1. How long have you know this individual?(Required)

2. In what capacity do you know this individual?(Required)

3. How would you describe him or her?(Required)

4. Have you had the opportunity to see him or her interact with children? If so, please describe:(Required)

5. Would you feel comfortable leaving your child or a child you care about in his or her care?(Required)

6. Do you believe he or she has at least an average level of dependability, emotional stability, commitment, and punctuality?(Required)

7. To the best of your knowledge, has he or she ever been arrested, experienced drug- or alcohol-related problems, or been involved in child molestation or a sexual relationship with a minor?(Required)

8. Are you aware of any reason why this individual should not be working with children?(Required)

9. Do you feel that he or she would do well in the role that I have described?(Required)

10. Is there anything else you want me to know about this individual?(Required)

Reference Check

Reference Check

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