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 NamePlease tell us for whom you are providing a reference. First Last Please indicate who emailed you the link to this reference questionnaire.*PLEASE SELECT FROM LISTGreta EricksonMerle HenryBrooke PippengerChristie DodsonJoy GibbonsAmy HorneShannon TeagueRelationship and ObservationsHow long have you known the applicant?What is your relationship with the applicant?Have you observed him/her with minors?YesNoIn 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 AssessmentPlease 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 characteristicsPlease describe other appropriate characteristics from the categories above.Do you recommend this applicant?YesNoYour 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!