Providing safe and healthy homes for children of families in crisis.

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Ministry Lead -Reference Form

The applicant has given us your name as a reference for our Safe Refuge for Children + Families program to which they are applying to be a Volunteer "Ministry Lead". The responsibilities involve overseeing "Host Families" who are caring for children from families in crisis in their home for a predetermined amount of time designated by SRCF. We would appreciate you taking the time to complete this form as soon as possible. To learn more about our program please visit our website at www.saferefugecf.org. If you have any further questions please contact us at admin@saferefugecf.org.

  • Please indicate items which best describe the applicant(s), within the limits of your experience. Please check N/A if you don’t know.
  • Please indicate items which best describe the applicant(s), within the limits of your experience. Please check N/A if you don’t know.
  • Please indicate items which best describe the applicant(s), within the limits of your experience. Please check N/A if you don’t know.
  • Please indicate items which best describe the applicant(s), within the limits of your experience. Please check N/A if you don’t know.
  • Please indicate items which best describe the applicant(s), within the limits of your experience. Please check N/A if you don’t know.
  • Please indicate items which best describe the applicant(s), within the limits of your experience. Please check N/A if you don’t know.
  • Please indicate items which best describe the applicant(s), within the limits of your experience. Please check N/A if you don’t know.
  • Please indicate items which best describe the applicant(s), within the limits of your experience. Please check N/A if you don’t know.
  • Please indicate items which best describe the applicant(s), within the limits of your experience. Please check N/A if you don’t know.