City Mission of Schenectady: Volunteer Reference Form

Volunteer Reference Form

This form is to help you give a character reference for an applicant seeking a volunteer position with the City Mission of Schenectady. Please help us evaluate this applicant by filling in the confidential information requested. Give your appraisal in as many areas as you feel you can answer. Thank you for your assistance in making this a meaningful volunteer assignment for the applicant.

Your Info:

Your Name

Organization (optional)

Address

City

State

Zip

Day Telephone (Optional)

Evening Telephone (Optional)

Your Email

How long have you known the applicant?

Describe your relationship to the applicant

Applicant Info:

Name of applicant this reference is for

Applicant is applying for the following position

Do you recommend this applicant?

If no, please describe why not

Do you know any reason why this applicant should not work with children?

If “Yes” please describe the reason

To the best of your ability, select the option that bests describes the applicant's...
Communication

Relating to youth

Cooperation

Emotional Stability

Initiative

Judgment/Common Sense

Leadership

Manner/Personal Appearance

Reliability

For each of the following, select the most appropriate word that best describes the general nature of applicant:

Applicants strengths

Applicants weaknesses

Please include any other appropriate information regarding this applicant that you feel we should know

Enter the text as shown