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Reference Form
Character Reference Form
Reference Name
First Name *
Last Name *
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Date
Reference Phone Number
Regarding Big Friend Application
First Name *
Last Name *
How long have you personally known this applicant?
In what context have you personally known the applicant? (Student, friend of family, church, etc.)
In your opinion, how does applicant get along with children?
How dependable and reliable is the applicant?
In your opinion, is this applicant of good moral character?
Yes
No
To your knowledge, has this applicant been convicted of a crime?
Yes
No
To your knowledge, has this applicant ever abused a child?
Yes
No
To your knowledge, has this applicant ever had a moving vehicle violation?
Yes
No
To your knowledge has this applicant ever had an alcohol or drug problem?
Yes
No
What limits if any, would you put on matching this applicant with a little friend?
Do you have any reservations about recommending this applicant?
Should this application be postponed or denied for any reason?
In your summary judgment, should we approve this applicant for matching with a little friend?
Other Comments
Please contact The Friends Program Director, Jalin Gerdes, if you have questions related to the completion of this reference questionnaire. (phone 308-236-2036 or email information@friendsprogram.net)
Big Friend Application
Reference Form
Enroll a Little Friend Form
Monthly Match Report
Big Friend Annual Update
Little Friend Annual Update
Share Your Story
Board Member Application
Who We Are
Mission & History
Frequent Questions
Board & Staff
Financials
Contact Us
What We Do
Activities
Spring/Summer Activities
Fall/Winter Activities
Kearney Parks
Fun Websites
Why The Friends Program?
How To Help
Donate
Volunteer/Become a Big Friend
Get Connected
Forms
Big Friend Application
Reference Form
Enroll a Little Friend Form
Monthly Match Report
Big Friend Annual Update
Little Friend Annual Update
Share Your Story
Board Member Application
News & Events
Event Calendar
Photo Gallery
Important Links
Become a Big Friend!
Donate Now
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