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Lookout Mountain Presbyterian Church

Glorifying God by growing in grace and giving our lives away on the mountain, in the city, and around the world.

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CPP Reference Questionnaire

Your name was given as a reference by an individual who has applied/volunteered for a position in our church. All those who work with minors must have a record of reference contacts on file. Thank you for your prompt attention to this.
Candidate's Name
Please tell us for whom you are providing a reference.
First Last
Please indicate who emailed you the link to this reference questionnaire.*
Relationship and Observations
How long have you known the applicant?
What is your relationship with the applicant?
Have you observed him/her with minors?
In what situations?
What particular skills does he/she have in dealing with minors?
Do you have any concerns about his/her ability to provide care to minors? If so, explain.
Do you know of any conditions making this applicant unsuitable for working with minors? If so, please describe.
Additional comments:
Strengths Assessment
Please rate the candidate with respect to each of the characteristics listed below by checking the appropriate blanks. Check N/A for items which you feel you have had no opportunity to observe. Please feel free to check more than one as well as add any appropriate characteristic at the end of this list.
Initiative
- Anticipates upcoming needs and acts on them
- Works independently
- Needs supervision
- Needs constant supervision
- N/A
- Other/Additional
Responsiveness to others' needs/concerns
- One of the most compassionate people I know
- Concerned about others
- Average
- Mostly self-centered
- Shows no concern for others
- N/A
- Other/Additional
Teamwork
- Great team person
- Good at working on teams
- Average
- Not good at working on teams
- Totally isolates self when working on teams
- N/A
- Other/Additional
Sense of humor
- Hilarious
- Fun to be around
- Rarely laughs or causes others to laugh
- Sarcastic
- Inappropriate
- N/A
- Other/Additional
Interpersonal skills
- Outgoing
- Endearing
- Pleasant, people enjoy having them around
- Average
- Awkward, makes people uncomfortable Overbearing
- N/A
- Other/Additional
Response to correction
- Teachable
- Humble
- Apologetic
- Agrees to change, but doesn’t
- Stubborn
- Defensive
- Defiant
- N/A
- Other/Additional
Leadership abilities
- An exceptional, natural leader
- Talented leader
- Can lead when asked
- Mostly a follower
- Avoids leadership
- N/A
- Other/Additional
Discernment in ministry
- Thoughtful and responsible
- Overly cautious
- Careless
- Easily swayed
- N/A
- Other/Additional
Additional characteristics
Please describe other appropriate characteristics from the categories above.
Do you recommend this applicant?
- Yes
- No
Your Name*
First Last
Your Email*
Please wait until the form has submitted successfully before exiting this window.
Looking for the submit button? Please select the person who sent you this link from the drop-down menu at the beginning of this form. Thanks!
Email
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Lookout Mountain Presbyterian Church
316 North Bragg Avenue
Lookout Mountain, TN 37350
423-821-4528
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