Date:
Volunteer Reference Check
Volunteer Name:
University Health Network Department of Volunteer Resources would appreciate your assistance in providing
us with a written reference for the above noted individual. We thank you for your time in advance.
Reference Information
Name:
Title:
Telephone Number(s):
Work Relationship (circle one or X): Manager/Supervisor Teacher Other
Rating
Competency/Work Ethic Comments
(1-5)
1. Organizational Skills (time
management, planning, project
management, order)
2. Teamwork (relationships, developing
trust, sharing the work, flexibility,
understanding)
3. Communication (verbal, written,
responsiveness, appropriateness)
4. Accountability (Were there any
reliability/attendance issues?)
5. Commitment (Candidates overall
approach to work, level of Commitment)
1 - Very limited proof of skills/behaviours 2 - Limited evidence of skills/behaviours
3 - Acceptable proof of skills/behaviours 4 - Good evidence of skills/behaviours 5 - Superior proof of skills/behaviour
Additional Information Comments
1. What would you say are the
candidate’s best qualities, characteristics
and/or strengths?
2. In what areas do you feel the
candidate needs improvement?
Is the candidate aware of these issues?
3. Do you have any additional comments
about the candidate’s performance/
character?
Thank you very much for taking the time to complete this reference. Your assistance is greatly appreciated.
If you have any questions/concerns please contact VR Recruitment at 416 340-4114 or volunteering@[Link]
Signature: Date: