Volunteer Reference Form Question Title * Your name Question Title * Applicant's name Question Title * How long have you known the applicant? Question Title * In what way do you know the applicant? Question Title * How well do you know the applicant? Very Well Well Average Not Well Question Title * Describe how the applicant relates to people and forms relationships? Question Title * Please write here about their relationships with you, friends, family and/or co-workers Question Title * Have you seen the applicant around children? What were your impressions or feelings about that interaction; if you have not seen them around children, what qualities do they have that would be applicable to working with children? Question Title * Please comment on applicant's ability to relate to authority or follow rules. Question Title * Do you think this is an appropriate volunteer opportunity for the applicant based on their experience and/or time availability? Yes No Question Title * To the best of your knowledge, has the applicant ever been arrested? Yes No Question Title * To the best of your knowledge, has the applicant ever experienced drug or alcohol related problems? Yes No Question Title * To the best of your knowledge, has the applicant ever been involved in child molestation or a sexual relationship with a minor? Yes No Question Title * Would you feel comfortable leaving a child alone with the applicant? Yes No Question Title * Is there anything else you would like to share about this applicant? Question Title * Please provide a phone number so that we can contact you if additional information is needed Question Title * What is the best time of day to reach you at this number? Morning Afternoon Evening Question Title * Your email address Question Title * Please check the box below to agree The information I have given is truthful to the best of my knowledge. Question Title * Would you like more information about how to become involved as a volunteer or supporter of Catholic Guardian Services? Yes No Done
