CATALYST VOLUNTEER REFERENCE

Name of Applicant

The above-named person has applied to be a volunteer with Ashburnham Place Catalyst Programme. Ashburnham
Place provides facilities for mainly Christian groups and individuals. Each year we welcome up to 60 young people from
around the world to live and serve together around the grounds, the gardens and in the house of Ashburnham Place.
Young people are also given biblical teaching, life skills and they take part in social action projects.

Serious consideration will be given to your comments, please complete this form carefully. Your prompt handling of this
form will speed up the application process. Please return this form to the applicant or directly to Ashburnham Place
using the address below, within one week of receipt. Thank you.

You may complete this form online at http://catalyst.ashburnham.org.uk/application-stage-2/get-reference/

How long have you known the applicant?

What is your relationship to the applicant?

¨ Pastor
¨ Mentor
¨ Friend
¨ Employer
¨ Parent
¨ Other - Give more details below

Details

CHURCH LIFE

In your opinion, is the applicant a born-again Christian?

¨ Yes
¨ No
¨ Not Sure
¨ Other - Give more details below

Details

1
Does the applicant have an active personal relationship with God?

¨ Yes
¨ No
¨ Not Sure
¨ Other - Give more details below

Details

In what ways is the applicant involved in church work? Please list.

1.

2.

3.

How would the applicant benefit by coming to Ashburnham? Please list.

1.

2.

3.

How often does the applicant attend prayer meetings?

¨ Always
¨ Often
¨ Sometimes
¨ Rarely
¨ Never

ATTITUDE TOWARDS LIFE

Please tick the boxes that best describe the applicant.

1 equals not very good
5 equals very good

5. Always 4. Often 3. Sometimes 2. Rarely 1. Never

Punctuality
Leadership skills
Diligence
Faithfulness
Physical strength
Complaining
Servant heart
Reliability
Initiative

2
 PERSONALITY

Please tick the boxes that best describe the applicant

Introvert Shy Funny Brave Observant

Extrovert Intelligent Faithful Insecure Hesitant
Talkative Thoughtful Pleasant Humble Impulsive
Creative Quiet Confident Difficult Practical

ATTITUDE TOWARDS OTHERS

Do you think the applicant can accept people from different nations, cultures and denominations?

¨ 5. Always
¨ 4. Often
¨ 3. Sometimes
¨ 2. Rarely
¨ 1. Never

Do you think the applicant can accept people from different nations, cultures and denominations?

¨ 5. Yes
¨ 4. Sometimes
¨ 3. Learning to accept
¨ 2. With difficulty
¨ 1. No

How would you assess the applicant’s ability to speak English?

¨ 5. Fluent
¨ 4. Very Good
¨ 3. Good
¨ 2. Adequate
¨ 1. Poor

Is there anything you think would be helpful for us to know about this applicant currently and from their history?

Continue on a separate sheet if necessary

Would you recommend the applicant to be accepted as a volunteer?

¨ Yes
¨ No
¨ Other - Give more details below

Details

3
Thank you,

To finish this form, leave your signature below.

DECLARATION
By signing this application, you confirm that: -

All information given is true to the best of my knowledge.

Data on this form will be handled in accordance with the Ashburnham Place Privacy Policy.

Signature

Date

Organisation name

Phone (optional)

Email

Tick the box if you would like to be on our mailing list. We will occasionally send you news and
updates about Ashburnham Place.

RETURN THE COMPLETED FORM :-

By email to
catalyst@ashburnham.org.uk

By post to
Ashburnham Place
Catalyst Volunteer Programme
Battle, East Sussex
TN33 9NF
UK

www.ashburnham.org.uk

Phone: 0044 (0)1424 892244