Volunteer Reference Request Form

Volunteer Reference Request Form

We have been informed that you can supply a reference, please can you complete the following online form.

If you would prefer a paper copy of this form or need any other help in completeing the reference then please contact us on 0203 609 4538 or visit the

Grant a Smile contact us page

All information supplied is strictly confidential

Thank you

ONLINE FORM

    Please rate this person on the following attributes

    Responsibility
    pooraveragegoodvery goodexcellent

    Self motivation
    pooraveragegoodvery goodexcellent

    Can motivate others
    pooraveragegoodvery goodexcellent

    Commitment
    pooraveragegoodvery goodexcellent

    Trustworthiness
    pooraveragegoodvery goodexcellent

    Reliability
    pooraveragegoodvery goodexcellent

    As an organisation committed to safeguarding vulnerable children and adults, we need to know about the applicant’s suitability to work with vulnerable children and adults.
    Do you have any concerns about the applicant’s suitability to work with vulnerable adults?

    yesno

    If Yes, please give more information:

    ------------------------------

    Referee details

    Date

    Under the Data Protection Act, I am aware that this reference will be made available to the applicant, if requested.

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