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Submit a Reference

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Please complete and submit the form below to provide a Safe Environment reference for a volunteer or applicant at Christ the King Catholic Church or School.
- Those giving a reference must be over the age of 18, not a member of your family, and not a member of the Roman Catholic clergy.
Online Reference
The maximum number of form submissions has been reached. This form is currently not available.
- Applicant or Volunteer Information
  
  This section is regarding the person who has applied to work or volunteer at Christ the King Church/School for whom you are providing a reference. If you do not know the answer to a question, please respond accordingly. All fields must be completed. Your answers will be treated confidentially.
  
  DO NOT PUT YOUR OWN NAME IN THIS SECTION. Put the name of the person for whom you are providing this reference.
  
  Name of Person you are Providing a Reference for: (First & Last Name) REQUIRED Please fill out this field. Please enter valid data.
  
  Email of person you are providing a reference for: REQUIRED Please fill out this field. Please enter an email address.
  
  How long have you known the applicant? REQUIRED Please fill out this field. Please enter valid data.
  
  In what capacity do you know the applicant? REQUIRED Please fill out this field. Please enter valid data.
  
  How long has the applicant lived in the Archdiocese of OKC? REQUIRED Please fill out this field. Please enter valid data.
  
  Have you observed the applicant working with children, teenagers or with vulnerable adults? In what capacity? REQUIRED Please fill out this field. Please enter valid data.
  
  Are you aware of any circumstances or situations questioning the applicant's ability to be trusted with either children, teens, or vulnerable adults? If so, please explain? REQUIRED Please fill out this field. Please enter valid data.
  
  Is there any additional information you would like to share? Please enter valid data.
  
  By electronically signing your name below and submitting this form, you are stating that the information provided above is accurate and true. REQUIRED Please fill out this field. Please enter valid data.
- Date REQUIRED Please fill out this field. Please enter a date.
- Reference Provider Information
  
  This section pertains to you, the person providing the reference. Please note: PUT YOUR OWN NAME IN THIS SECTION.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Your Email REQUIRED Please fill out this field. Please enter an email address.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
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