Your Name *

Applicant's Name *

How are you acquainted? *

How does this applicant relate with others? *

Describe some of this applicant's strengths. *

What are some of this applicant's weak points? *

If this applicant is offered and accepts a position with CEDARS, is it your understanding that the role will involve direct interaction with children and youth? *

Yes

No

How does this applicant relate with children/youth?

Does this applicant have the ability and characteristics to be a good influence on children/youth?

Submit