Name of volunteer*
Volunteer role applied for*
Name of referee*
Contact number of referee
Email address of referee*
How do you know the individual?*
How long have you known the individual?*
How would you describe the individual's reliability? ExcellentGoodSatisfactoryNot very goodPoor
How would you describe the individual's enthusiasm? ExcellentGoodSatisfactoryNot very goodPoor
How would you describe the individual's punctuality? ExcellentGoodSatisfactoryNot very goodPoor
How would you describe the individual's communication? ExcellentGoodSatisfactoryNot very goodPoor
What other skills and experience does the individual have that will help them in this role?*
Any other information you think is relevant?*
Mandatory question for Learning Activity and Community volunteers ONLY:
Has this person been subject to any child or vulnerable adult safeguarding allegations?* —Please choose an option—YesNo
Do you have any concerns about this person’s ability to work with children or vulnerable adults?* —Please choose an option—YesNo
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