Home»Volunteers»Register»Volunteer Reference Form

Volunteer Reference Form

Debug
The 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?

Volunteer Reference*

	Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree	Don't Know
The Volunteer is responsible
The Volunteer is able to make commitments and keep them
The Volunteer shows tolerance and patience
The Volunteer exhibits a high maturity level for their age
The Volunteer is suitable to work with children who have special needs

Describe the Volunteer's Personality*
Withdrawn Quiet Average Outgoing Very Outgoing
Any important information that we must be aware of