Références des bénévoles - Big Brothers Big Sisters of Ottawa

Références des bénévoles

Vulnerable Sector – Employment – Volunteer Reference

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Provided for (Volunteer Name):*

Email (Volunteer Email):*

Provided by (Your Name):*

Email (Your Email):*

Phone (Your Phone):*

Type of Reference:*

1. Please specify if the applicant has worked with one or more of the following vulnerable populations within your business/organization:*

Children

Older adults

Persons with disabilities/special needs

Other (please specify)

None of the above

2. What is/was the role of the applicant with your business/organization?*

Employee

Volunteer

Student Placement

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

4. Does/did the applicant report directly to you?*

5. How long did the applicant volunteer/work for your organization?*

6. Did the applicant take on more responsibility or additional roles as timepassed?*

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

8. Why did the applicant resign? (Indicate N/A if not applicable)*

9. Did you know the applicant was applying to be a mentor?*

If so, what was your reaction?

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

11. 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?*

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

Please Explain:

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

If so, what kind of rules?

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

15. Have you witnessed the applicant interacting with children? If so, how does the applicant interact with or relate to children?*

16. Have you witnessed the applicant interacting with another vulnerable population? If so, please specify the population and comment on the interactions.*

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

If yes, please explain:

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

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

By clicking this box:*

I understand and agree to the above statements.

Name*

Prénom Nom

Date*

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Name

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Vulnerable Sector – Employment – Volunteer Reference

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Mentoring Programs