Reference Form

* indicates a required answer.

Our purpose is to provide a Christ centered cooperative learning and social experience by combining adult gifts and talents to meet the needs of older homeschooled students, thus providing an opportunity for growth and service to all who participate.

1. *

Name of person requesting membership to Summit:

The person you named above has requested membership to Summit Homeschool Co-op.  We would appreciate your help in evaluating this applicant as we strive to select individuals able to meet the needs of the children who participate in our homeschool co-op.  

Please do not see this as judgmental but as an honest critique of the applicant listed above.

Answer only those questions which you feel reasonably certain, leaving the others blank.  Whenever possible, please give specific instances and/or descriptions.

2. *

How long have you known the applicant?

3.

How well do you know the applicant?

Intimately Fairly well
Casually
4. 

What have you observed to be the applicant's special abilities and talents?

5. 

What do you consider to be the strong points and the weaker points of the applicant?

6. *

Would you have any reservations in recommending this applicant as a teacher, assistant teacher, or member of a homeschooling co-operative?  If so, what might they be?

Please check one button in each catagory below, that best describes the applicant.

7.

Reliable

Seldom Often
Excels
8.

Punctual

Seldom Often
Excels
9.

Organized

Seldom Often
Excels
10.

Works well with children.

seldom Often
Excels
11.

Social

Seldom Often
Excels
12.

Respects rules and authority

Seldom Often
Excels
13.

Completes tasks

Seldom Often
Excels
14. 

Please state frankly your opinion of the applicant's overall fitness for teaching/serving in a homeschool co-op.  Add any significant information and impressions about either the applicant or their family which may affect their ability to participate which have not been brought out by the preceding questions.

15. *

Your Name

16. *

Please provide your email, so we may thank you for your help.  A copy of the Reference Form will be emailed to you.

Thank you for your assistance.  We value your input as a reference and your reply will remain confidential.