NexGen Ministry Applicant Reference Form Applicant Name * First Name Last Name Reference Name * First Name Last Name How long have you known the applicant? * In what capacity do you know the applicant? * There is a possibility that the applicant will be a small group leader for children. Would you consider the applicant qualified to lead a small group of children? Why or why not? * Please list one strength of the applicant in regard to leading children. * Please list one weakness of the applicant in regard to leading children. * Are you aware of any experience the applicant has in working with children? In what capacity? * On a scale of 1-10 how well did the applicant do in that experience? * 1 2 3 4 5 6 7 8 9 10 Do you have any concerns we should be aware of before allowing the applicant to work with children? * Please check your choice of recommendation: * I strongly recommend I recommend I recommend with some reservation I do not recommend Thank you! Your reference form has been submitted. We appreciate your partnership as we pursue a safe and effective leadership team.