Potter's Clay of Cary
What We Offer
2017_2018 High School Classes
Frequently Asked Questions 2017_2018
2017_2018 Application/ Information Meeting Details
Information Meeting Registration Form
Current Members Only
PCC Absence/Leave Early Form
Surrogate Authorization Form
Thank you for taking the time to fill out a reference/recommendation form for one of our prospective members.
Please know that your responses and information will be kept completely confidential.
We appreciate your time and effort!
Your Phone Number
Name of applicant you are completing this for:
How do you know this applicant?
How long have you known this applicant?
Please briefly describe opportunities you have had to see this applicant interact with children:
Do you know anything about the applicant's character that should keep him/her from working with or teaching children?
To your knowledge has this person ever been asked to leave another co-op or group?
If "yes", please briefly explain your knowledge of the situation.
Please use the space below to provide any information that would be helpful in regard to how the applicant works with others
Please provide any positive comments or concerns that would help us as we attempt to place this family with our co-op.
Photo used under Creative Commons from
Per Ola Wiberg ~ Powi