WSU Extension > Skagit County > 4-H Volunteer Reference Check

4-H Volunteer Reference Check

Thank you for serving as a reference for a prospective 4-H volunteer. Volunteers play an important role in creating safe, positive, and meaningful experiences for youth, and your feedback is an important part of our volunteer screening process. Please answer the following questions based on your knowledge and experience with the applicant. Your responses will help us assess their suitability for working with youth and serving as a 4-H volunteer. Your responses will be kept confidential and used only as part of the 4-H volunteer screening and selection process. Thank you for taking the time to provide thoughtful and honest feedback.

Section 1 — Reference Information

Name of Volunteer Applicant(Required)

First Last

Your Name(Required)

First Last

Your Email Address(Required)

How long have you known the applicant?(Required)

In what capacity or relationship have you known the applicant?(Required)

Section 2 — Applicant Qualities

Please rate the applicant in each of the following areas based on your knowledge and experience with them.

Dependability(Required)

Communication(Required)

Patience(Required)

Organization(Required)

Fairness(Required)

Initiative(Required)

Respect for others(Required)

Flexibility(Required)

Ability to follow through on commitments(Required)

Judgment/responsibility(Required)

Section 3 — Experience & Qualifications

What qualities do you believe would make this applicant a good 4-H volunteer? Please provide examples when possible.(Required)

How does the applicant work and communicate with other adults?(Required)

How does the applicant respond to stressful situations, disagreements, or unexpected challenges?(Required)

How does the applicant receive feedback or correction from others?(Required)

Does the applicant demonstrate appropriate boundaries and good judgment when interacting with children or teens? Please explain.(Required)

How does the applicant interact with people whose backgrounds, abilities, perspectives, or needs may differ from their own?(Required)

Would you feel comfortable having a child or teen for whom you are responsible participate in an activity led or supervised by this applicant? Why or why not?(Required)

Are you aware of any behavior, circumstances, or concerns that should be considered when determining whether this applicant is suitable to work with children and teens? If yes, please explain.(Required)

Is there anything else you believe would be helpful for us to know when considering this applicant for a 4-H volunteer role?(Required)

Do you know of any reason why this person should NOT be considered for a 4-H volunteer position?(Required)

Yes

If yes, please explain.(Required)

Section 5 — Certification

Certification(Required)

I certify that the information I have provided is accurate to the best of my knowledge and reflects my honest assessment of the applicant.

Typed Name(Required)

Date