Reference (LM) - St Elizabeth Hospice

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Volunteer: Reference Form (LM)

"*" indicates required fields

Name of Volunteer*

How long have you known the applicant?*

In which capacity?*

Please state briefly your opinion on the applicant's suitability for voluntary work*

Any special aptitudes or experience you feel relevant

Would you describe the applicant as

Honest*

Yes

Trustworthy*

Yes

Reliable*

Yes

Capable*

Yes

If you have answered No to any of these questions please give details below

(Please be as candid as possible)

General comments in support or otherwise of the application

Your details

Your name*

Position and establishment

(if any)

Contact telephone number*

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