Safe Environment Reference
The applicant you are submitting this form for has been asked by the Archdiocese of Oklahoma City to submit three references to accompany their application to work with the youth or vulnerable adults in any capacity at the Catholic Parish of Saint Peter The Apostle. Please complete this reference if you are over 18 years of age, not a family member, priest, deacon, member of a religious order or parish staff.
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Email *
Name of applicant? *
Person for whom you are submitting this form.
How many years have you known the applicant?
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In what capacity do you know the applicant? 
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How long has he/she lived in Guymon/ Boise City/ Hooker/ Beaver?
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Does he/she ever speak to you about their involvement in the church? 
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Is there other information that you can share that will help us to know if the applicant will work well with young people or the elderly?
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Do you know or have you heard anything about this applicant which we should consider in deciding whether to allow him/her to work with the youth or elderly of our parish?
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Your phone  *
Your Occupation *
Your Name 
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If you have any questions please contact Johanna Serna at 806-340-7136
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