Volunteer Reference Form (T 1-T2)

You have been listed as a character reference for someone who is applying to be a volunteer with Inspire Our Nation. Your honest opinion and perspective of the applicant is appreciated. The information you provide will be kept confidential and is strictly used for the purpose of selecting and training our volunteers.

The personal information collected in this form may be regulated by the Personal Information Protection and Electronic Documents Act ("PIPEDA "). By completing this form, you hereby consent to Inspire Our Nation's use of the information obtained on this form.

For further information, please ask for a complete copy of Inspire Our Nation's Privacy Policy by emailing info@inspireournation.com.

Applicant's Name*

First NameLast Name

Your Name (Reference)*

First NameLast Name

Email Address*

example@example.com

Mobile Number*

Please enter a valid mobile number.

Were you aware that you were listed as a reference for this Applicant?*

YesNo

What is your relationship to the Applicant? How well do you know the Applicant?*

What do you think the Applicant has to offer INSPIRE?*

What do you consider to be a weaknesses of the Applicant?*

INSPIRE highly values teamwork and collaboration, and it is expected that all staff and volunteers work well with others. What type of an influence do you believe the Applicant will have on other team members?*

PositiveNeutralNegative

Would you trust this person to work closely with children and youth?*

AbsolutelyYes, with some reservationNo

Please provide the rationale for your response above.*

Do you have any concerns about the Applicant's ability to effectively serve with INSPIRE?*

Please rank the applicant in the following areas (1 ranking per row)*

	Below Average	Average	Above Average	Excellent
Maturity & Judgement
Sense of Humour
Emotional Stability
Dependability
Initiative
Creativity
Teamwork/Collaboration
Acceptance of Direction and Criticism

Please use this space for any additional information.

I certify that the statements regarding the Applicant in this Reference Form are true to the best of my knowledge and belief. I confirm that I am the Reference named by the Applicant as a character reference.*

Yes, I certify and confirm

Submission Date*

Date

Signature of Reference*