Name of prospective volunteer

Your Name

Your Email

Your Phone Number

How long have you known this applicant?

In what capacity?

Do you have knowledge of how the applicant relates to other people?

If yes, what have been your observations of the applicant working with people?

Does the applicant have experience working with any of the following?
 Minorities Females Males Various Religions Transgender Individuals Youth/Children

Do you feel the applicant would have difficulty working with any of the above populations?

If yes, please describe

List some qualities, characteristics, and/or strengths of the applicant

Check all of the following that apply to the applicant
 Punctual Fulfills commitments Reliable Able to separate personal life from volunteer experience Team player Ability to complete tasks

Is there anything else you would like to share about the applicant?