CSi Reference Application

A minimum of three references must accompany a CSi Responder application. Thank you for taking the time to complete this evaluation and helping us determine this applicant's suitability for this assignment. Please note the information given will be kept in the strictest confidence (We expect Pastor's and other professionals to fill these out).

Date

Applicant's Name

Reference Given By: First & Last Name

Reference Email

Reference Phone Number

Reference Type

Pastor Friend Teacher Employer Other

How many years have you known the applicant?

How well do you know the applicant?

Fairly Well Extremely Well Casual Name/Sight Other

Please describe areas of strength:

Is the volunteer financially responsible?

Can you in good conscience recommend the applicant to be reliable, honest, and of unquestionable character?

Please describe how this applicant responds to authority.

Are you aware of anything in this person's past that may positively or negatively impact their short-term volunteer service?

Spiritual Maturity

Not known Poor Below Average Average Above Average Excellent

Personal Witness