Appendix B
Confidential
Reference Form
Your name has been given as a reference
by ,
who submitted an application to work as a volunteer with one of our youth
programs. We would appreciate your
completing this form and returning it in the enclosed envelope so that we may
make a decision on the applicant's ability to fulfill this volunteer
commitment. All information will be
confidential. Thank you.
_________________________________________
Director
of Volunteers
How long have
you known the applicant? ____________________________________________
In
what capacity have you known the applicant?
______________________________________
_____________________________________________________________________________
Describe
the applicant's reliability and willingness to make a commitment such as this:
_______
_____________________________________________________________________________
Are
you aware of any problems that would limit the applicant's ability to fulfill
this obligation?
_______
If yes, please explain: ____________________________________________________
_____________________________________________________________________________
Would
you recommend the applicant for placement in a setting such as ours? Or, do you feel he or she may be more suited
for another type of volunteer agency? If
so, why: ________________
_____________________________________________________________________________
_____________________________________________________________________________
Additional
comments: ___________________________________________________________
_____________________________________________________________________________
________________________________________ _____________________________