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Volunteer Reference Form

Thank you for taking the time to fill out this Volunteer Reference Form- your input is greatly appreciated. The information you provide will be considered confidential.

Applicant Information
(DD/MM/YYYY)

Using a scale of 1-5, please rate each of the qualities of the applicant to the extent of your knowledge for the following 10 questions. If you have not had an opportunity to observe the applicant in the below situations, please do not answer.

Your Information

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