Embracing Age Volunteer Reference Form

    All your answers will be treated with the strictest confidentiality

    (*) Mandatory field

    Name of Volunteer*

    Your Details

    First Name* Last Name*


    Reference Details

    How long have you known his person?*

    In what capacity have you known them?*

    What attributes does this person have that would make them a suitable volunteer?*

    Please rate this person on each of the following:

    1. Responsibility*

    2. Self Motivation*

    3. Commitment*

    4. Trustworthiness*

    5. Reliability*

    Would you have any hesitation in recommending this person for a volunteering role?*

    If you answered yes to the above question please could you tell us why.

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    Thankyou for taking the time to complete this reference.