DebugThe Friendship Circle/LifeTown extends a helping hand to families who have children with special needs, involving them in a full range of social and Judaic programs. While assisting families, our volunteers become empowered and enriched - this friendship works both ways. This form must be filled out by an adult who is not related to the volunteer. Working with children requires an incredible amount of responsibility. The information you provide will be very helpful to us in placing the volunteer in the correct setting. All information you provide will be held in confidence. To clarify some information, we may contact you by phone. Thank you for your time. Name of Volunteer* First Last Your Name* First Last Your Email* Your Phone Number*What is your relationship with the volunteer?*How long have you known the applicant?*How would you feel about having the applicant as a volunteer worker with your child and/or youth?*Do you know of any characteristics or circumstances that would negatively affect the applicant's ability to work with children and/or youth? If so, please describe.*Do you have any knowledge that the applicant has ever been convicted of a crime? If so, please describe.*Volunteer ReferenceStrongly AgreeAgreeNeutralDisagreeStrongly DisagreeDon't KnowThe Volunteer is responsibleThe Volunteer is suitable to work with children who have special needsDescribe the Volunteer's PersonalityWithdrawnQuietAverageOutgoingVery OutgoingAny important information that we must be aware of Δ
