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Home > About > Volunteering > Junior Volunteer Applicant Reference Form

Junior Volunteer Applicant Reference Form

Use this form to provide a reference for a person applying to the junior volunteer program at UVA Health System.

Your reference helps us decide whether to accept this applicant as a junior volunteer. Please rate this candidate in each of the following categories and answer the two questions below. We will not share your responses with the applicant. 

Date  
/ /  
Applicant Rating
Not all teens are outstanding in every area. Given the number of teens you interact with, please indicate where this applicant falls in each of the areas below. (For instance, the top 10 percent of this age group might get “Excellent.”)
Fulfills commitments  





Attendance  





Relates to diverse populations  





Emotional maturity  





Verbal communication  





Takes initiative  





Courtesy/politeness  





Follows instructions  





Manages stressful situations  





Enthusiastic  





Dependable  





Thank you for your input.

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