SIL Confidential Professional Reference Form for those Working with Children and Youth

SIL Confidential Professional Reference Form
for Working with Children/Youth

Applicant’s First and Last Name:

Today’s Date:

Your First and Last Name:

Phone:

Email Address:

Address:

School/Business:

How long have you known the applicant and in what capacity?:

Please rate the applicant for the items below.

Human relationships skills: ability to relate to students/parents:

Ability to supervise children/youth:

Teaching skills:

Planning and organizational skills:

Judgment in decision making:

Sensitivity: demonstrates concern for others:

Flexibility/Adaptability:

Integrity:

Moral purity:

Maturity:

Would you want this applicant to work with your child?

Would you hire this applicant?

Do you know of any reason why this applicant would not be a desirable staff member to serve with children/youth?

Is there anything else you would like us to know about this applicant?

Additional Comments:

Electronic Signature: