Chabad Youth - Reference Form

Reference Form
Referee Details
Referee Full Name*
First Name Last Name
Organisation*
Role*
Referee Phone Number*

Area Code Phone Number
Referee E-mail*
Reference Applicant Details
Applicant Full Name*
First Name Last Name
How long have you known the applicant?*
When did the applicant work for your organisation?*
What were the applicant's main duties and responsibilities?*
What is your assessment of the applicant's performance in that role?*
Would you have any concerns about the applicant working with children or young people?*
How would you describe the applicant's weaknesses in working with children or young people?*
Are there any challenges that the applicant would face in working and engaging with children or young people?*
Does the applicant use appropriate language and tone of voice with children or young people?*
How does the applicant relate to the parents of children or young people?*
Does the applicant become angry easily?*
How does the applicant respond when children or young people are challenging or provocative?*
Have there been any findings against the applicant in relation to allegations of inappropriate behaviour with respect to children or young people?*
Would you employ the applicant again?*
Should be Empty:

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Reference Form