Volunteer Reference Form

Your First and Last Name:*

For whom are you providing a reference?*

How long have you known this individual?*

In what capacity do you know this individual?*

Do you have knowledge of how the applicant relates to children?*

Please describe your knowledge of how the applicant relates to children:*

Please list three adjectives that describe this applicant:*

Please indicate how the applicant handles the following situations:

Public Speaking*

Dealing with sensitive/controversial issues*

Defending a position on an issue with colleagues*

Defusing a potentially explosive situation*

Writing Skills*

Interviewing Skills*

Interpersonal Skills*

Level of Motivation*

Self- Assurance*

Leadership*

Is there anything you would like to share with us about the applicant?*

Gender

Preferred Pronouns

Date*

Please provide your phone number in case the CASA program would like to follow up with you regarding this reference*

Signature*