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2. Name of Applicant?*
   Enter the name of the person applying for the position.
4. Your Name?*
   Enter the name of the person completing this form.
6. How long have you known the applicant?*

   1. Less than 1 year
   2. 1-3 years
   3. 3-5 years
   4. More than 5 years
8. In what capacity do you know the applicant?*

   1. Personal
   2. Professional
   3. Other
10. How would you consider the applicant's reliability?*

    1. Outstanding
    2. Good
    3. Average
    4. Poor
    5. Unknown
11. Please explain
13. How trustworthy would you consider the applicant?*

    1. Outstanding
    2. Good
    3. Average
    4. Poor
    5. Unknown
14. Please explain
16. How would you rate the applicant's ability to work with children?*

    1. Outstanding
    2. Good
    3. Average
    4. Poor
    5. Unknown
17. Please Explain
19. Would you trust this applicant to supervise or care for your own child?*

    1. Yes
    2. No
    3. N/A
21. What are the applicant's strengths?
23. What areas could the applicant improve upon?
25. Are you aware of any reason that we should not allow this applicant to work with children?*

    1. Yes
    2. No
27. Is there anything else that you would like to add?
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29. 1. Receive an email copy of this form.
30. Email address

    This field is not part of the form submission.

31. Submit

* indicates a required field