Cross Bar X Youth Ranch

To be completed by an employer, volunteer organization, pastor, Christian worker, and/or person who has known the volunteer applicant for a long time.

Name of the Volunteer Applicant *

The person named above has applied to serve as a volunteer at Cross Bar X Youth Ranch, a Christian camp for disadvantaged youth. Please fill out the following questions as honestly as you are able and mail to the above address as soon as possible. Please leave blank any questions you feel unqualified to answer.

How long have you known the applicant? *

In what capacity? *

Please describe the applicant’s personality and leadership abilities *

Please describe the applicant’s moral and integrity characteristics *

Please state applicant’s strengths *

Please state applicant’s weaknesses *

This applicant may have interaction with campers. Would you be comfortable with your own child being placed under the direct charge and/or influence of this individual? Please explain *

Please provide any additional comments you feel would help us in considering the Applicant. *

May we contact you to verify the information you have provided? *

Your Full Name *

Position / Organization *

Your address

Your Phone

Message