RE-CREATION UNLIMITED

Volunteer Reference Form

Dear Recommender, welcome to Re-Creation Unlimited.

You are most likely here because someone you know has requested that you fill out this form as a reference for them. We want to thank you for taking the time to do this.

This person has applied to Re-Creation Unlimited for summer service and training. Since applicants are required to have this form on file before their application can be considered, your prompt appraisal will be appreciated. Please respond frankly in your comments.

Please fill out the form below as accurately as possible.

Applicant Information	(please enter the person's name you are recommending)
First Name:
Last Name:
Referrer Information	(please enter your information below)
First Name:
Last Name:
Title:
Relationship to Applicant:
How long have you known the Applicant?:
In what capacity have you known the Applicant?:
Address 1:
Address 2:
City:
State/Province/Region:
Zip:
Country:
Phone Number:
Best time to call me:
Email:
Re-type Email:
Recommendation
	RATE the applicant in the following areas:
Flexibility:	Exceptional Good Fair Weak No Knowledge
Christian Influence:	Exceptional Good Fair Weak No Knowledge
Cooperation:	Exceptional Good Fair Weak No Knowledge
Emotional Stability:	Exceptional Good Fair Weak No Knowledge
Integrity:	Exceptional Good Fair Weak No Knowledge
Motivation:	Exceptional Good Fair Weak No Knowledge
Conistent Energy Level:	Exceptional Good Fair Weak No Knowledge
Timeliness:	Exceptional Good Fair Weak No Knowledge
Neatness of their personal quarters:	Exceptional Good Fair Weak No Knowledge
Professional Personal Appearance:	Exceptional Good Fair Weak No Knowledge
Clarity of Thought:	Exceptional Good Fair Weak No Knowledge
Speech Diction:	Exceptional Good Fair Weak No Knowledge

Does the applicant use any of the	following?
Alcohol	I do not know No Yes
Drugs	I do not know No Yes
Tobacco	I do not know No Yes

Please make any additional comments about the applicant:
How would this person handle a hostile or conflict situation?
RECOMMENDATION:	In consideration of the above evaluation, do you recommend this applicant? (check one of the following)
	Strongly Recommend
	Recommend
	Recommend with Reservation
	Do Not Recommend
Signature
By typing your initials in this box, you agree that the above information is correct to the best of your knowledge.