NYM Staff Application Reference Form

If you're at this page, then you've been asked to fill out a reference form for someone who is interested in joining the Small Group Leadership Staff at Northridge Youth Ministry. 

They will be involved in a serious way with investing in the lives of students, influencing them toward godliness and shaping their worldview. We take this responsibility incredibly seriously. So, as you fill out this form, please try to do so with the understanding that you have the ability to reveal the truth about this applicant and either launch them into life-changing ministry or protect our students from a potentially harmful or non-helpful applicant! 

Thanks for taking the time to do this! NYM is grateful. 

All of the information you provide will remain confidential unless legally necessary to be reported to the authorities. 

Name *
Name
Please provide a phone number for follow up contact if necessary *
Please provide a phone number for follow up contact if necessary
Name of the Applicant for whom you are providing a reference *
Name of the Applicant for whom you are providing a reference
Please use the survey form below to describe the applicant's abilities in the following areas *
Please use the survey form below to describe the applicant's abilities in the following areas
The scale is as describe below: Strongly Disagree - Low ability Disagree - Below Average Neutral - Average Agree - Above Average Strong Agree - Excellent
Relationships with Peers
Emotional Maturity
Resolving Conflict
Following through with Commitments
Ability to relate to students
Spiritual maturity
If so, please explain
Please check this box if you would rather discuss this issue in person or on the phone
Please enter the date below to verify that the information you have provided is accurate to the best of your knowledge. *
Please enter the date below to verify that the information you have provided is accurate to the best of your knowledge.