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)





    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

    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...

    Relating to youth


    Emotional Stability


    Judgment/Common Sense


    Manner/Personal Appearance


    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