Volunteer Reference form

Date *

Reference's Name*

First Name

Last Name

Reference's Email*

Reference's Phone*

Applicant's Name*

First Name

Last Name

How many years have you known the Applicant?*

In what capacity have you known the Applicant?*

check all that apply

Does this applicant have a sincere concern for children and youth?*

Yes No Don't Know

Other:

If NO, please explain

Does this applicant have the ability to be objective and non-judgmental?*

Yes No Don't Know

Other:

If NO, please explain

Can this applicant work with people of social, economic, and ethnic backgrounds and lifestyles different from his/her own?*

Yes No Don't Know

Other:

If NO, please explain

Can this applicant treat sensitive information confidentially and recognize the need to bring in additional on-site professional support when needed to ensure they safety and well-being of the children/teens/families under their care?*

Yes No Don't Know

Other:

If NO, please explain

Can this applicant be depended upon to meet deadlines and commitments?*

Yes No Don't Know

Other:

If NO, please explain

To your knowledge, does this applicant have a past or current history of substance abuse, criminal conduct, or any other conduct that would interfere with his/her ability to serve as a Friends of Aine volunteer?*

Yes No Don't Know

Other:

If NO, please explain

Based on the qualifications listed above, can this applicant perform as a Friends of Aine volunteer?*

Yes No Don't Know

Other:

If NO, please explain

Please state other personal observations, recommendations, or information you can provide for this applicant.

THANK YOU!