4-H Volunteer Reference Form

Name of 4-H Volunteer Applicant(Required)

First Last

Name of person using you as a reference

Phone(Required)

Your Name(Required)

First Last

Your Email(Required)

Your Phone(Required)

How long have you known the applicant?(Required)

Less than one year

2 - 4 years

More than 5 years

Are you related to the 4-H volunteer applicant, or a member of the same household?(Required)

Yes

Please share your impression and knowledge of the applicant's qualifications for the position by using specific examples where possible.(Required)

What are the strengths of this volunteer applicant?(Required)

How well does the applicant interact with children?(Required)

How would rate the applicants ability to work in a volunteer role with youth?(Required)

How would rate the applicants ability to work in a volunteer role with other adults?(Required)

What additional skills, abilities, and attributes does the applicant have that would be helpful in this position?(Required)

Does the applicant have any experience working with people who are developmentally disabled, from different ethnic backgrounds, from difference socioeconomic backgrounds? If so, please describe.(Required)

How would you describe the applicant's ability to handle records and/or money?(Required)

How would you describe the applicant's general outlook and stability?(Required)

Would you be willing to place your child, or any other child for who you are responsible under his/her leadership? Why?(Required)

Do you know any reason why this person should NOT be considered for this position? If yes, please explain.(Required)

San Juan County 4-H Volunteer Reference Form