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Youth Dynamics
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Youth Dynamics
PO Box 486
Burlington, WA 98233
(360) 757-1337
info@yd.org
Home
Book an Adventure
Adventures Idaho
Whitewater Rafting and Kayaking
Mountaineering and Rock Climbing
Team Building and Challenge Course
Custom Adventure Combo
Leadership Development
Adventures Oregon
Whitewater Rafting and Kayaking
Mountaineering and Rock Climbing
Hiking and Backpacking
Custom Adventure Combo
Team Building and Challenge Course
Leadership Development
Winter Adventures
Training and Certifications
Adventures Washington
Whitewater Rafting and Kayaking
Mountaineering and Rock Climbing
Hiking and Backpacking
Team Building and Challenge Course
Custom Adventure Combo
Horsemanship
Leadership Development
Winter Adventures
Training and Certifications
Locations
Idaho Ministries
Horseshoe Bend
Riggins
Adventures Idaho
Salmon River Adventure Base Capital Project
Oregon Ministries
Adventures Oregon
Columbia Valley
Washington Ministries
Adventures Washington
Anacortes
Concrete
Moses Lake
Nooksack Valley
North Central Washington
Rochester
Skagit Valley
Stilly Valley
Stonewater
Wenatchee Valley
Whidbey Island
About
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Branding Youth Dynamics
Newsletters
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Contact Us
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Stonewater
Leadership Development
Adventure Bible School
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Our Team
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Volunteer Opportunities
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Reference Form – International
Step
1
of
3
33%
Contact Information
Please tell us a little about yourself.
Name
*
First
Last
Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
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Dominican Republic
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Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
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Guam
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Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
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Hungary
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India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
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Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
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Latvia
Lebanon
Lesotho
Liberia
Libya
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Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
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Mongolia
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Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
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Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
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Panama
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Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
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Sudan
Suriname
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Sweden
Switzerland
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Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
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Virgin Islands, U.S.
Wallis and Futuna
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Country
Email
*
Phone
*
Employer (if applicable)
Job Title (if applicable)
Applicant Information
Please tell us about the person you are filling this out on behalf of.
Applicant Name
*
First
Last
Which Youth Dynamics location is the applicant applying for?
*
Adventures Idaho
Adventures Oregon
Adventures Washington/Stonewater
Anacortes
Columbia Valley
Concrete
Emmett
Horseshoe Bend
Moses Lake
Nooksack Valley
Riggins
Rochester
Skagit Valley
Stilly Valley
Wenatchee Valley
Whidbey Island
Support Services/Administrative Office
Other
I don't know
Which other location is the applicant applying for?
Which position is the applicant applying for?
*
Full-time/Part-time
Summer Staff
Internship
Volunteer
I don't know
What is your relationship to the applicant?
*
Pastor / Christian Leader
Employer
Parent / Guardian
Friend / Co-worker
Spouse
How long have you known the applicant?
*
In what capacity is your relationship to the applicant?
Short Answer Responses
Your honest appraisal will assist in evaluating the applicant's qualifications and abilities.
Please describe the applicant’s ability and experience to work with youth. Also, do you have any concerns with this applicant working around youth?
*
What leadership abilities have you observed in the applicant?
*
What do you feel are the applicant’s main weaknesses or areas that could use improvement?
*
What do you feel are the applicant’s main strengths that they would bring to this position?
*
Insofar as you know, has this applicant been subjected to disciplinary action, suspended, terminated, or asked to leave a job or volunteer position because of engagement in child sexual abuse, neglect, other unlawful sexual behavior, or otherwise violated an employer’s sexual misconduct or harassment policy?
*
Yes
No
If yes, could you provide any details surrounding this situation?
Insofar as you know, has this applicant has ever been convicted of a criminal offense (misdemeanor or felony other than a parking violation) in a court of law?
*
Yes
No
If yes, could you provide any details surrounding this situation?
Personal Evaluation
Please select the response that best describes your perception of the applicant. Answer only those questions to which you feel capable of giving a response.
Spiritual Maturity - How would you rate the applicant's Christian faith experience?
*
Spiritual Seeker
New Christian
Growing in Faith
Active and Mature Faith
Spiritual Leader
Unsure
Church Involvement - How would you rate the applicant's current relationship with a local church?
*
Rarely
A few times per year
Monthly
2-3 times per month
Weekly
Multiple times per week
Unsure
Personality - How would you rate the applicant's general personality type?
*
Cold
Shy
Warm
Friendly
Outgoing
Overbearing
Social Awareness - How responsive is the applicant to the feelings of others?
*
Slow to Respond
Fairly Responsive
Thoughtful and Considerate
Unusually Insightful
Unsure
Emotional Stability - How well does the applicant maintain composure in stressful situations?
*
Not well at all
Okay
Moderately well
Very well
Great leader under pressure
Unsure
Leadership Abilities - How would you best describe the applicant's leadership abilities?
*
Follower: Prefers to follow
Dependent: Waits to be asked
Independent: Can self manage
Good Manager: Can manage self and others
Exceptional Leader: Can delegate well, leading and empowering others with excellence
Unsure
Responsibility - How well is the applicant able to assume responsibility?
*
Unable
Fair
Average - some initiative
Very Responsible
Exceptionally Responsible
Unsure
Servanthood - How willing is the applicant to lead through serving others?
*
Unwilling
Indifferent
Willing
Proactive Servant
Exceptional Servant
Unsure
Teamwork - How would you rate the applicant's ability to function in a team relationship?
*
Difficult
Moderate
Works Fairly Well
Works Very Well
Exceptional
Unsure
Communication - How would you rate the applicant's ability to present thoughts with logic and clarity?
*
Often misunderstood
Occasionally misunderstood
Fair
Clear communicator
Excellent communicator
Unsure
Rapport with Teens - How would you rate the applicant's ability to develop rapport with teens?
*
Difficult establishing
Fair
Warm up slowly
Liked by teens
Loved by teens, builds and maintains rapport quickly
Unsure
Do you recommend this person for this position?
*
I strongly recommend
I recommend
I recommend with hesitation
I do not recommend
Could you please explain your reasoning in more detail?
Is there anything else you think we should know about this applicant?
Date
MM slash DD slash YYYY
If you have any additional questions or comments, you can email us at hr@yd.org or call (360)757-1337.
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