Employment Reference Reference Name* Reference for...* How long have you known the applicant and in what capacity? Did/Does the applicant report directly to you? Yes No Did you know the application was applying to be a mentor? Yes No If so, what was your reaction? What personal strengths do you feel the applicant has to offer?Based on your knowledge of the applicant, to whom would he/she turn to for support or gudiance? Can the applicant be counted on to follow through on the commitments he/she undertakes? Yes No To your knowledge, has the applicant ever had any trouble following the rules? Yes No If so, what kind of rules? Are you aware of any complaints being made or disciplinary actions being taken against the applicant? Yes No Would you recommend the applicant as a mentor for a child or youth? Yes No Is there anything else you would like to add that would aid us in our decision?CAPTCHANameThis field is for validation purposes and should be left unchanged. Facebook Twitter Google+ LinkedIn
