Character Reference

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City Union Mission High Impact Volunteers serve in an inner-city, multi-cultural environment as they assist staff to meet the spiritual, physical and emotional needs of poor or homeless men, women and children (over-night guests, recovery program clients, community clients).

Name of Volunteer Applicant *

Applying for (select one): *

• High Impact Volunteer
• Internship

Position Name or Internship Type

If known, please write the name of the volunteer position or the type of internship the applicant is applying for.

How long have you know the applicant indicated above? (number of years) *

In what capacity? I am a... *

• Friend
• Pastor
• Co-worker
• Other (please complete the field below)

If other, please write your relationship with the applicant

What characteristics or behaviors have you seen in this person that would indicate he/she is a suitable match for volunteer ministry at City Union Mission and for the above-mentioned position? Include character, commitment, teamwork, and abilities. *

Is there anything that would cause you to hesitate to recommend this person? (If yes, please explain.) *

Name of person giving reference *

First

Last

Today's date (MM/DD/YY) *

Phone or email address (please provide one) *

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