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Giving and Volunteering

Volunteer Reference Check

The individual named below has applied to become a volunteer at University of Minnesota Medical Center and University of Minnesota Masonic Children’s Hospital and has given your name as a reference. Volunteers are placed in a number of areas in the hospital. The applicant may be volunteering with children or vulnerable adults. Your evaluation of this applicant would be appreciated. The information you provide will assist us in making appropriate placements and will be considered confidential. Please complete and submit this form. 

Volunteer Applicant Name
In what capacity have you known the applicant and for how long?
Please describe the characteristics of the applicant that would make them an appropriate volunteer. Consider maturity, reliability, initiative, willingness to work, interpersonal and communication skills.
Describe the applicant's ability to work with different age groups, people with serious medical conditions, and people of diverse cultures.
Do you feel the applicant is well organized and can attend to details related to a volunteer position? Give examples.
Name of the person completing this reference
Phone number
Date
Email