Form C - Telephone Reference Check printable pdf download

Form C - Telephone Reference Check

Form C

Telephone Reference Check

Applicant: __________________________________________ Applicant Phone: __________________________

Sample Calling Script:

Hello. My name is __________________ and I am a Good News Club worker in ____________________

_______ (this area, chapter name, etc). _______ ________ (Person) has given me your name as a

reference. She/He desires to work with children in our organization as Good News Club Volunteer.



Is there anything that would call into question (Person)

_______

being entrusted with the

supervision, guidance and care of children or young people? If yes, please explain.



Do you know if (person)________ has ever been accused or convicted of child abuse?

(Write a brief summary of person’s answer to question above. Then sign and date the making of this call.)

Reference #1: Name __________________________ Phone # ___________________________________

Signature _________________________________________________ Date _______________________

Reference #2: Name ___________________________ Phone # ___________________________________

Signature _________________________________________________ Date _______________________

Reference #3: Name ___________________________ Phone # ___________________________________

Signature _________________________________________________ Date _______________________

Reference #4: Name ___________________________ Phone # ___________________________________

Signature _________________________________________________ Date _______________________

Form C - Telephone Reference Check