Franciscan Outreach Association
1645 W. LeMoyne Street, Chicago, IL 60622
Telephone (773) 278-6724 Fax (773) 278-7120
Reference Form
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APPLICANT NAME: ___________________________________________ TO THE APPLICANT: Give this form to someone you feel knows you well enough to assess your character and abilities. Three references are required. One should be requested from each of the following:
TO THE REFERENCE: Franciscan Outreach Association is a ministry to the poor and homeless of Chicago, Illinois, USA. Our volunteers join us for one year to serve in our Soup Kitchen and Homeless Shelter. In addition to their service work, volunteers live in together on site. Please return this form as soon as possible, (application will not be processed without your response) Feel free to attach additional comments, as well as to omit any questions yon do not feel qualified to answer. PLEASE BE HONEST. You do not help the applicant or our guests by exaggerating your responses. We can email this form to you as a Word document. Ask at volunteer@franoutreach.org Return this form to: Franciscan Outreach Association 1645 W. LeMoyne St. , Chicago, IL 60622 FAX: 773-278-7120 EMAIL: volunteer@franoutreach.org If you fax the form please include a cover sheet and mark it CONFIDENTAL YOUR NAME:____________________________________________________ ADDRESS: ____________________________________________________ ____________________________________________________ PHONE (DAY): ____________________ (EVENING): ___________________
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- How long have you known the applicant? What is your relationship to the applicant?
- Character portrait: On a scale of 1-5 (five being highest), please rate the applicant according to the following qualities (indicate “UK” if unknown). There should be a balance in your responses.
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Cooperation |
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Sense of Humor |
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Decision-making |
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Adaptability |
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Dependability |
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Self-discipline |
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Ability to handle conflict |
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Social Skills |
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Dealing with stress |
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Assertiveness |
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Ability to work alone |
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Openness to new ideas |
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Self-esteem |
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Leadership |
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Acceptance of criticism |
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Ability to work with others |
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Common Sense |
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Sensitive to other cultures |
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Forthrightness with Authority |
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Organization |
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Communication Skills |
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- Describe the applicant’s personality, commenting on at least two of the traits above.
- Assess the applicant’s work skills.
- Assess the applicant’s interpersonal skills and ability to live with others.
- Do you have any reservation about this applicant?
- Any additional comments?