Referee Recommendation Form

First and Last Name of Applicant

How long have you known the applicant?

In what capacity have you known the applicant?

How would you describe the applicant? Please include any character strengths that you have noted.

Would you recommend the applicant to work in a hospice/hospital setting? Do they have the ability to work with sick children and with people of diverse cultures?

On a scale from 1 to 5, please rate the applicant on the following traits:

This form has been provided on the basis that it will be treated as confidential.

By accepting to complete this form, you agree and acknowledge that any information contained herein is correct and is treated as confidential, and may not be shared with the volunteer applicant and should be delivered directly to KACCH & BACCH.