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Confidential References form
Confidential References form
Confidential references
Please send three non-relative references here for volunteer applications.
Candidate's Name
Date
MM
DD
YYYY
Name of Reference
Reference Phone Number
Reference email
Rate the individual with the following:
Ability to work with girls
1 Outstanding
2
3
4 Unacceptable
Not observed
Leadership
1 Outstanding
2
3
4 Unacceptable
Not observed
Ability to plan and organize
1 Outstanding
2
3
4 Unacceptable
Not observed
Ability to handle money
1 Outstanding
2
3
4 Unacceptable
Not observed
Ability to work with adults
1 Outstanding
2
3
4 Unacceptable
Not observed
Communication skills
1 Outstanding
2
3
4 Unacceptable
Not observed
Creativity
1 Outstanding
2
3
4 Unacceptable
Not observed
Conflict resolution
1 Outstanding
2
3
4 Unacceptable
Not observed
What qualities does he/she possess?
Positive
Trustworthy
Aggressive
Uses good judgement
Accepts people of various backgrounds
Gets stressed easily
Outgoing
Assertive
Energetic
Easy to anger
Punctual
Dependable
Patient
Overschedules
Positive role model
Shy
Good leader
Flexible
Enthusiastic
What would you say is this person's greatest strength or asset?
Are you aware of any weaknesses?
Do you feel the applicant can be trusted with large sums of money such as troop funds, product sales money, and event fees?
What contributions do you feel this person can make to Girl Scouting?
Have you ever seen this person in a situation where he or she has interacted with children? If yes in what capacity?
Would you entrust your child to this person?
Are you aware of any situations or personal conditions that might cause problems in working with girls or adults?
Is there anything else we should know about this applications ability to volunteer? Any other comments?
Signature
Date
MM
DD
YYYY
Checking this box serves as my electronic signature
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