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Personal Reference

Personal Reference

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Published by mpriceatccusa
Personal Reference
Personal Reference

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Published by: mpriceatccusa on May 16, 2013
Copyright:Attribution Non-commercial


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Catholic Charities – Diocese of MetuchenConnections ProgramPersonal Reference
Name of Applicant Date:1.How long have you known theapplicant?2.What is your relationship to theapplicant?3.When did you first learn about the applicant’s interest in the
Connections Program?
4.In your best estimation, do you feel the applicant is genuinely committed to becoming a volunteer? YesNo5.Have you been to the applicant’shome?YesNoIf yes, howoften?6.Are you familiar with the applicant’s relationship with children or young people? YesNoPlease describe 7.Please rate each of the following:ExcellentGoodFairPoorUnknownResponsibilityMaturityWork attitudeFlexibilityDependabilityAbility to work with othersAbility to accept criticismAbility to accept supervisionAbility to set limitsSelf-disciplineCommunication skills Time-management8.Do you have children of yourown? YesNoIf yes would you allow the applicant to a role model for yourchildren? YesNo9.How would you describe the applicant? (Check all that apply.)Easy-goingWarmQuietForgetfulLaxFollowerMoodyDemandingOrganizationLoner
LeaderStrictDepressedMessyAlooUnreliableConfidentFriendlyOpinionatedHappyResponsiveCarelessOutgoingBelligerentTenseAggressiveInsecureConsiderateCreativeStableImpulsiveSpontaneousPatientCompassionateBlunt10. Describe your perception of the applicant’s strengths and limitations as an adult volunteer foryouth. What qualities and/or values does the applicant possess which would qualify her/him for ourprogram? 11.Discuss any problems concerning the applicant, which would suggest that she/he would not be asuitable volunteer. 12.Do you recommend the applicant as an adult volunteer for youth? Yes, without reservation. Yes, with some reservation. Please explain below. No, Please explain:

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