Reference Form

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Contact Information
Please tell us a little about yourself.
Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
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?*
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?

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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?

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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.
Name
This field is for validation purposes and should be left unchanged.

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Youth Dynamics is a 501(c)(3) non-profit organization, federal ID# 91-0858312. All donations in the United States are tax-deductible in full or in part, to the extent permitted by law.

CORE MINISTRY SITES

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Retreat Ministry

USEFUL MINISTRY LINKS

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Stonewater
Young Adults

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Job/Career Opportunities
Capital Projects
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Reference Form

Step 1 of 3

Contact Information

Applicant Information

Short Answer Responses

Personal Evaluation