Teen Reference Form

Greetings! You have been asked to be a reference for someone who is applying to make a Teens Encounter Christ retreat. (For more information about TEC, visit this page). To help the TEC team deal personally and sympathetically with each retreat participant, we ask you to fill out the following form. Please know that your responses will be kept confidential. Your input will help us in discerning how to best assist this individual, so we thank you for your honest responses. Please pray for the young person whom you are referring, that he/she may be open to the grace of Jesus Christ working through this retreat. Thank you for your assistance!

If you have any questions or concerns, please contact us:

Katherine Komar | Chairperson | 440-221-0317 | katherinekomar@gmail.com

Teen Reference Form

Your First Name(required)

Last Name(required)

E-Mail Address(required)

Phone Number (xxx-xxx-xxxx)(required)

Name of Applicant(required)

If 'Other,' please specify:

How long have you known this person?(required)

Comments

What are his/her areas of interest? (Athletics, Academics, Student Government, Youth Group, Music, Acting, Social Justice Activities, Etc.):(required)

Additional comments and concerns. Anything we should be aware of or pay attention to?(required)

Teen Reference Form

Teen Reference Form

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