Team Member Reference Form 2014

Please fax back to 678-935-9674

Applicant Name __________________________________________________ YouthReach International is a non-profit Christian organization with the mission of equipping orphans and at-risk children for success in life through spiritual development, positive role models, and practical skills. This applicant has applied to work with one of our teams teaching the children during this next year. Please help us evaluate this potential team member by completing this form and returning it to us. Please answer all questions that apply to your relationship with the applicant. Please know that this reference will be kept strictly confidential and will not be shared with the applicant. Thank you for your time and assistance. Please use the back of this page if you need additional space. Your Name ____________________________ Phone Number_________________________ How long have you known the applicant? Years _____ Months _____ Relation to applicant ___________ Please comment on the applicants spiritual maturity: Please comment on how the applicant interacts with children: Please rank the applicant according to the following: Always Team Player Adaptable Flexible Patient Honest Submits to Authority Positive Attitude Mostly Sometimes Rarely Never

I recommend this applicant for a team with YouthReach International:

without hesitation. with reservations. I do not recommend this person.

Please explain: ____________________________________________________________ Signature ______________________________________ Date _______________________