Epic Site - References

Volunteer Reference Form

Thank you for your willingness to complete the reference questions for an Epic volunteer applicant. We appreciate your honest feedback and will take it into serious consideration as we determine a proper placement for the volunteer applicant. Responses are seen only by Epic staff and kept confidential.

Reference Information

Please provide your contact information so that we may follow up with you.

Your First Name

Your Last Name

Your Email

Phone Number

Applicant Information

Applicant's First Name

Applicant's Last Name

How do you know the applicant?

Approximately how long have you known the applicant?

Have you ever seen the applicant interact with children? If yes, how would you describe the applicant's interaction?

What personal qualities does the applicant possess that make him/her a strong role model and/or mentor for children?

If applicable, would you trust the applicant with your children? Why or why not?

Do you know of anyone who wouldn't allow the applicant to care for their children? If so, why?

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Volunteer Reference Form

Reference Information

Applicant Information

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