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WakeMed Volunteer Services Reference Form
Please complete the information below for the applicant who has applied for a volunteer position at WakeMed Health & Hospital.
Applicant Name applying for volunteer position
*
First
Last
Name of Person Giving Reference:
*
First
Last
Your Email Address
*
Length of time you have know the applicant?
*
Please note unit of time in your response. Example: 6 months or 1 year
In what capacity have you known the applicant?
*
Supervisor
Co-Worker
Friend
Teacher
HR/Records
Please rate the applicant on the following qualities:
*
Poor
Fair
Good
Very Good
Excellent
Not Sure/NA
Team Player
Trusthworthy
Positive Attitude
Takes Initiative
Goes Beyond Expectations
Time Management
Politeness/Courtesy
Communication Skills
Concern for Others
Attendance
Work Quality
Dependable
Examples of qualities or additional comments:
Are you aware of this applicant having any history of abuse, neglect or misappropriation of property?
*
Yes
No
If yes, please explain
Overall, would you recommend this applicant for a volunteer position at our hospital?
*
Highly Recommend
Recommend
Some Reservations
Cannot Recommend
