Volunteer Reference Form

Volunteer Reference Form
Applicant's Name
Applicant's Name
First
Last

ALL INFORMATION PROVIDED ON THIS FORM WILL BE CONSIDERED CONFIDENTIAL

The individual named above is applying to volunteer as a reading tutor with Dyslexia Tutoring Program. Dyslexia Tutoring Program exists to identify, remediate, and provide advocacy and support services, without charge, to low-income children and adults with dyslexia and other language-based learning disabilities throughout Baltimore and surrounding communities. We do this by bringing volunteer tutors and clients together in an environment supportive of the learning process; and provide this service regardless of race, creed, gender, age, religious belief, or national origin.

It will help us a great deal if you carefully answer the following questions to the best of your ability and knowledge.

How would you describe the applicant's relationship with people in general? Please check all that apply.
Do you have any reason to question this person's honesty or trustworthiness?

Thank you very much for taking time to complete this questionnaire.

Reference Name
Reference Name
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Last