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About Us
Unplowed Ground
Shop
Give Today
Reference Request Form
Name of Applicant
*
First Name
Last Name
Name of Reference
*
First Name
Last Name
What is your relationship with the applicant?
*
How long have you known the applicant?
*
Did you directly supervise her/him?
*
Yes
No
Would you recommend this person work directly with children?
*
Yes
No
Please rate the applicant as honestly as possible.
*
This applicant displays honesty in their work.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
This applicant receives correction well.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
This applicant is fit to work with children from trauma.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I would hire/rehire this person if given the opportunity.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
What are some positive characteristics about this person?
*
Are there any negative characteristics we should be aware of?
*
How do you feel this person would do working with children from trauma?
*
Do you have any concerns you wish to discuss over the phone?
*
Yes
No
If yes, please provide your phone number below.
(###)
###
####
Thank you!
Thank you for your time and input!
- The King’s Ranch Team
