Character Reference Form printable pdf download

Character Reference Form

CHARACTER REFERENCE FORM

The applicant below would like to be accepted by (Name of Agency) for the purpose of

being a volunteer. If accepted, she/he will spend time supporting our clients in various

activities. You will be contacted by our organization to confirm this reference.

1. Name of applicant: ______________________________________

Reference Information:

2. Name of reference:_______________________________________

3. Day Time Telephone: _____________ 4. Evening Time Telephone: __________

5. Address:

________________________________________________________________

____________________________________________________________

I confirm that The Information Below Is True And Correct

Signature of The Reference:_______________________ Date: _________________

6. How long have you known the applicant: _____________________________

7. How do you know the applicant? (example: employer, neighbour, friend etc.)

________________________________________________________

8. Please check the most appropriate box regarding applicant’s abilities:

Abilities

Excellent

Very Good Good

Poor

Don’t

Know

Communication

Skills

Work Quality

Attitude

Reliability

Maturity

Helpfulness

Ability to work

with other

9. Please describe why you think the applicant would be suitable for the program:

________________________________________________________________

Character Reference Form