Volunteer Experience Reference Form

Volunteer Experience Reference Form

Reference provided for:*

First Last

Date*

Reference provided by:*

First Last

Organization*

Email*

Phone

Big Sisters is an organization that enrols volunteer mentors to provide healthy role models to children and youth in our community. Volunteer mentors must provide a stable, positive influence over the period of their volunteer commitment. Many of the resilient children and youth in our programs have experienced challenges in their lives; relying on the consistent presence of a mentor makes a difference in their lives. Likewise, ending this important relationship sooner than expected can have a detrimental effect on the young person. Help us Start Something for our community’s youth by providing a reference that, to the best of your knowledge, is an honest reflection of the applicant and their ability to be a positive influence in the life of a child.

Your responses will remain confidential. Thank you.

Please note: This reference check is required so that we may continue with the application process. Please submit this completed reference check to Big Sisters within 3 business days to info@bigsisters.bc.ca.

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How long have you known the applicant and in what capacity?*

Did/does the applicant report directly to you?*

Yes

What was/is the applicant's role in your organization?*

How long did the applicant volunteer?*

Did the applicant take on more responsibility or additional roles as time passed?*

Yes

How did the applicant receive support and/or training?*

Why did the applicant resign their volunteer role? (if applicable)

Did you know the applicant was applying to become a mentor?*

Yes

If so, what was your reaction?

What personal strengths do you feel the applicant has to offer?*

Based on your knowledge of who the applicant has in their life, to whom would they be most likely to turn, or be most responsive to, for support or guidance?*

Can the applicant be counted on to follow through on the commitments they undertake?*

Yes

Please explain:*

To your knowledge, has the applicant ever had any trouble following rules?*

Yes

If so, what kind of rules?

Are you aware of any complaints being made or disciplinary actions being taken against the applicant?*

Yes

When have you witnessed the applicant interacting with children? How does the applicant interact with or relate to children?*

Have you ever known the applicant to be inappropriate (emotionally, physically, verbally, sexually) with either adults or children?*

Yes

If yes, please explain:

Would you recommend the applicant as a mentor for a child or youth?*

Yes

Is there anything you would like to add that would aid us in our decision?

By typing my name in the line below I am certifying that all of the information I have provided in this reference form is accurate and true to the best of my knowledge.

Name*

Signature*

Volunteer Experience Reference Form

By typing my name in the line below I am certifying that all of the information I have provided in this reference form is accurate and true to the best of my knowledge.

1. Are you a self-identified woman, non-binary, transgender or gender-diverse individual (age 19+) interested in becoming a volunteer?