Volunteer Reference Form
You have been listed as a reference for someone applying to the Alcovy CASA volunteer program. Our volunteers advocate for the best interest of foster children in Newton and Walton Counties. Please complete the following to the best of your ability. Your information and answers will not be shared with any other parties.
Your Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State
Zip Code
Email
*
example@example.com
Phone Number
-
Area Code
Phone Number
Name of person you are providing a reference for:
*
First Name
Last Name
Length of time you have known the applicant?
*
In what capacity do you know the applicant?
*
Describe the applicant's relationship to people, in general.
*
How would you rate the applicant's ability to judge interpersonal relations?
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Excellent
Good
Average
Poor
Please give one example.
*
Please rate the applicant in the following areas
*
Rows
Excellent
Good
Average
Poor
Ability to cooperate with others?
Trustworthiness?
Dependability?
Self-confidence?
Verbal Communication skills?
Written Communication Skills?
Check ALL of the following which describe the applicant:
Please describe a stressful situation that illustrates how the applicant approached and resolved the situation. Please be specific.
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Do you feel the applicant is in a position to make a commitment of at least one year?
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Yes
No
Referring to ONLY the previous question, Why do you feel this way about the applicant?
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To your knowledge, has the applicant ever abused drugs or alcohol?
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Yes
No
Based on your understanding of our program, would you recommend this applicant as a CASA advocate?
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Yes
No
Referring to ONLY the previous question, Why do you feel this way about the applicant?
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Please provide any additional information that would help us evaluate this applicant.
Signature
*
Email
example@example.com
Submit
Should be Empty: