GREELEY  970.353.2673      Abortion Pill Reversal Hotline 877.558.0333

Reference Form

Reference Form

    Your Information:








    Applicant's Information:

    *I am submitting a reference for a:



    *Your relationship to the applicant:

    *How long have you know the applicant?

    The person above has applied to become a volunteer/intern/employee at The Resource Center. Please rate the applicant in the following areas:
    5=excellent, 4=good, 3=satisfactory, 2=fair, 1=poor

    *All fields below are required.
    *A genuine commitment to Jesus Christ as Lord:

    *Dependability, responsibility, willingness to give of themselves:

    *Steadfastness, faithfulness, and possession of an unshakeable confidence in the Word of God with an ability to communicate its truths:

    *Uncompromising commitment to the sanctity of all human life:

    *Spiritual maturity:

    *Communication skills:

    *Compassion and mercy:

    *Initiative:

    *Please write a short paragraph describing the applicant in relation to the above characteristics.



    We listen. You decide.

    Quick Contact:




      *Are you seeking no-cost services?

      If Yes, which ones?



      Our Location:

      GREELEY
      822 14th Street
      Greeley, CO 80631