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Applicant Reference Form for Counselor-In-Training

  1. Enter the name of the person applying for the position.

  2. Enter the name of the person completing this form.

  3. How long have you known the applicant?*

  4. In what capacity do you know the applicant?*

  5. How would you consider the applicant's reliability?*

  6. How trustworthy would you consider the applicant?*

  7. How would you rate the applicant's ability to work with children?*

  8. Would you trust this applicant to supervise or care for your own child?*

  9. Are you aware of any reason that we should not allow this applicant to work with children?*

  10. Leave This Blank:

  11. This field is not part of the form submission.