Thank you for agreeing to be a personal reference for a member of the Dorset Venture team, a residential holiday run by Urban Saints.  Please set aside approximately 15-20 minutes to complete the following, answering all the questions you can honestly and fully.  If you do not feel you know the applicant sufficiently to answer any particular question(s), please indicate so in the box and move on to the next one.  The reference must be done in one sitting, and you must enter something for all fields marked with a *.  Once you have finished filling in the reference, you need only click 'Submit' at the bottom and wait for the confirmation text beginning 'Thank You' to appear.

If you would like a paper or pdf version of the reference, please contact the Holiday Leader, Alex Sharp.

Who is this a reference for?
Section 1) You and your relationship to the applicant
Please note, this first section requires you to enter your own details, NOT those of the applicant.
Your Name *
Your Name
This is so we can contact you in case of any queries or follow-ups that are required.
This is so we can contact you in case of any queries or follow-ups that are required.
Section 2) Applicant's suitability to work with young people
This section of the form requires to you to tick the appropriate answer to each question and then provides space to make a short comment. If you answer 'Yes' to any question, please provide an explanation in the comment box of that question.
Do you have any reservations in recommending the applicant to work with children and young people during a residential holiday or event? *
If 'Yes', please provide details:
To your knowledge does the applicant suffer, or have they suffered from any illness that may directly affect their work with children or young people? *
If 'Yes', please provide details:
To your knowledge, has the applicant ever been cautioned or convicted for any criminal offence (excluding a minor motoring offence), or are they at present the subject of a criminal investigation? *
If 'Yes', please provide details:
Finally, we close this section with the following question, please do write a comment
Section 3) Applicant's suitability to work within a team context
This section of the form requires you to tick the appropriate answer to each question and then make any comments. if you answer 'Neutral', 'Disagree' or 'Strongly Disagree' to any particular question(s), please do provide an explanation(s) in the comment box below the table.
*
The applicant is able to work in a team
The applicant is able to submit to authority
The applicant is able to lead and take responsibility for others
The applicant is a person of integrity, honest and reliability
The applicant is able to relate to adults of both sexes
The applicant has the ability to take iniative
Please do comment on any question where you answered 'Netural', 'Disagree' or 'Strongly Disagree'.
We close this section with the following questions, please do write a comment for each
Section 4) Applicant's faith and Christian life
Is the applicant a committed Christian? *
*
This next part of the form requires you to tick the appropriate answer to each question and then make any comments. if you answer 'Neutral', 'Disagree' or 'Strongly Disagree' to any particular question(s), please do provide an explanation(s) in the comment box below the table.
The applicant attends and is committed to a church
The applicant shows spiritual maturity
The applicant's lifestyle demonstrates the Christian faith
The applicant has a good knowledge and familiarity with the Bible
Please do comment on any question where you answered 'Netural', 'Disagree' or 'Strongly Disagree'.
Does the applicant hold any strong, controversial views that could cause a hindrance if they are appointed? *
This part of the form requires to you to tick the appropriate answer to the question and then provides space to make a short comment. If you answer 'Yes', please provide an explanation in the comment box below.
If you answered 'Yes' please comment below
Section 5) Final Comment and Declaration
Please enter the date this reference was completed on. *
Please enter the date this reference was completed on.
By clicking submit, I confirm that I am the person stated in Section 1 and all the above information is accurate to the best of my knowledge.