West Ealing Community Library

Volunteer Reference Form

Thank you for acting as a referee. This form collects your feedback on the applicant’s character and suitability for volunteering. All responses will be kept confidential.

Applicant Information

Applicant Name:(Required)
Volunteer Role Applied For:(Required)

If you are happy to complete the reference, all the information contained on the form will remain confidential and will only be shared with members of staff with responsibility for the volunteer (if applicable).

We would appreciate your candid evaluation of this person.

Please give an indication of the applicant’s suitability for volunteering based on the following:

Friendly and approachable manner(Required)
Team work(Required)
Self-motivation(Required)
Commitment(Required)
Energy and positivity(Required)
Trustworthiness(Required)
Reliability and time-keeping(Required)
Ability to deal with pressured situations(Required)
Diplomacy skills(Required)
Adaptability and flexibility(Required)

Safeguarding Information

As an organisation committed to the safeguarding of all, especially children and vulnerable adults, we would like to know if you have any reason at all to be concerned about this applicant being in contact with anyone considered vulnerable.(Required)
If you have answered ‘Yes’ we will contact you in confidence

Additional Information

Your Full Name(Required)
Referee writes their full name in capital letters, e.g. JOHN SMITH
MM slash DD slash YYYY
Referee enters the date they are completing the form.
Declaration(Required)
Signature
Clear Signature

Thank you for taking the time to complete this reference.

Please do not hesitate to contact us if you require clarification or wish to discuss anything in more detail.