Connections Program – Application Assessment Name

:
1. Describe initial information about the applicant. (demographics)

2.

Describe applicant's appearance.

3.

Describe affect and mood of the applicant.

4.

What is the applicant's motivation for being a volunteer?

5.

How did the applicant respond to questions?

6.

Do you have any concerns about this applicant?

7.

What is your overall impression of the applicant as a potential volunteer?

Caseworker: Jeanette Nadonley Caseworker

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Rosi Pena Date

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