Reference form for Volunteer Reading Coach applicant

It is our policy to provide this form in response to individuals seeking a role with the Adult Literacy Trust.

The Adult Literacy Trust operates an open file policy and the volunteer in question, should they request it, may have sight of the information you provide.

Your relationship to the applicant

Your First Name*:

Your Last Name*:

Name of applicant*:

How do you know this person?*:

How long have you known this person?*:

Your assessment of the applicant

What is your assessment of the following elements in relation to the applicant?*:

	Excellent	Good	Fair	Poor
General conduct	Excellent	Good	Fair	Poor
Attitude to work or volunteering	Excellent	Good	Fair	Poor
Dedictaion to the job or volunteer role	Excellent	Good	Fair	Poor
Initiative	Excellent	Good	Fair	Poor
Timekeeping	Excellent	Good	Fair	Poor
Tactfulness towards sensitive issues	Excellent	Good	Fair	Poor
Patience	Excellent	Good	Fair	Poor
Communication	Excellent	Good	Fair	Poor
Ability to simplify complex ideas	Excellent	Good	Fair	Poor

Do you have reason to doubt the applicant's honesty and trustworthiness?*:

Yes

Do you find the applicant to be reliable?*:

Yes

Do you have any concerns about the applicant working with vulnerable adults?*:

Yes

Do you have any concerns about the applicant’s ability to perform the role as described in the role description?*:

Yes

Confirmation

I confirm that my responses are an accurate and honest assessment of the applicant in question:

Yes

Review and Submit

Please check all details above are correct, then use the button to submit your application.