gracekids and igniter reference response form

The individual named below has expressed an interest in working with children or youth at Grace Community Church. The candidate has listed you as a reference. In order for our church to properly evaluate the qualifications of this worker candidate, we are asking you to complete this form with your honest opinions and impressions of the candidate. This information will be kept confidential. Thank you for your time.

Your Name *
Your Name
Name of Ministry Reference
Your Phone *
Your Phone
For *
Name of Worker Candidate
i.e. coworker, friend, etc.
In your opinion, is the above worker candidate qualified to work with children or youth? *
The above information is true and correct to the best of my knowledge. By entering my full name here, I recognize that this is the equivalent of my legal signature.
Date *

If you have any questions or concerns, please contact Casey Teater at or 316-283-2554. Thank you!