Lucia

User login

Username: *

Password: *

Request new password

Volunteer Reference Form

Submitted by jessica on Tue, 06/09/2009 - 15:06

The person who sent you this link has applied to volunteer with Reel Grrls and has listed you as a reference. Please answer the following questions, to the best of your knowledge, based on your interactions with the applicant. A copy of your submission will be emailed to you when you click "submit"

Contact Info

Your Name: *

Company or Organization: *

Position: *

Work Phone: *

Home Phone: *

Email: *

Preferred Contact Method: *

Home Phone

Work Phone

How can we best reach you?: *

Reference Information

Potential Mentor Name (this is the person you are providing a reference for): *

How long have you known this person?: *

In what capacity have you known him/her?: *

In your judgment, how would you describe his/her character and attitude?: *

Outstanding

Good

Adequate

Below Average

Poor

How would you rate his/her reliability?: *

Outstanding

Good

Adequate

Below Average

Poor

How would you describe his/her ability to work with and relate to youth?: *

Outstanding

Good

Adequate

Below Average

Poor

How would you describe his/her ability to work with and relate to adults?: *

Outstanding

Good

Adequate

Below Average

Poor

How would you rate his/her judgment in normal conditions?: *

Outstanding

Good

Adequate

Below Average

Poor

How would you rate his/her judgment in stressful conditions?: *

Outstanding

Good

Adequate

Below Average

Poor

Comments on any of the above:

What do you consider to be his/her strengths?: *

What are his/her areas for development and improvement?: *

To the extent you know, please tell us about this person’s roles with youth: i.e. school, coach, youth group, etc.: *

If you have seen him/her discipline a child, could you please describe what you saw?: *

Digital Signature: *

By checking this box, I am electronically signing my name and affirm that all above information is true and complete to the best of my knowledge.

Theme port sponsored by Duplika Hosting.