Volunteer Referrence Your Name Email address(required) Name of Volunteer/ ID(required) How long have you known the applicant? In what capacity? Do you have knowledge of the applicants ability to work with children/ youth? yes no If yes, what can you share about the applicants ability to work with children/ youth? Do you have any concerns about the applicants ability to work with people from diverse backgrounds? yes no If yes, please explain In your opinion, is this person able to maintain confidentiality? yes no What 3 adjectives best describe the applicant? Do you think this applicant is in a position to make a year long commitment to a child? yes no In your opinion, and based on your knowledge of the applicant, how well would he/she work with the following groups? Children in Crisis Very Well Moderately Well Fairly Well Poor Families in Crisis Very Well Moderately Well Fairly Well Poor Professionals (judges, Social Workers, Attorneys, etc.) Very Well Moderately Well Fairly Well Poor Have you ever observed the applicant in any of the following situations? If so please describe how the applicant handled the situation. Public Speaking Gracefully Competently With Difficulty Not observed Working with sensitive or controversial issues Gracefully Competently With Difficulty Not observed Defending a position or an issue with colleagues Gracefully Competently With Difficulty Not observed Defusing a potentially explosive situation Gracefully Competently With Difficulty Not observed Responding to the needs of others Gracefully Competently With Difficulty Not observed Working with people from different backgrounds Gracefully Competently With Difficulty Not observed How do you rate the applicant's skills? Writing skills Excellent Good Fair Poor Not Observed Interviewing skills Excellent Good Fair Poor Not Observed Interpersonal skills Excellent Good Fair Poor Not Observed Level of motivation Excellent Good Fair Poor Not Observed How well does the applicant finish projects and activities? Very well Well Average Below average Overall, I would give the following recommendation for CASA: Excellent Very good Good Fair I have some reservations I have substantial doubts about the applicant Please explain any reservations or doubts Please add any additional information regarding your view of the applicants ability to work with court professionals on behalf of an abused child. Are you human?(required) This field should be left blank Send Please wait...
