Sense Holidays Team Volunteer Reference Request Form

Your name

Volunteer’s name

How do you know the volunteer?

How long have you known the volunteer?

How often do you have contact with the volunteer? (e.g monthly, weekly)

Please select an option for the volunteer’s ability to:

Work in a team

Communicate with others

Be patient and tolerant

Respect everyone’s differences

Please add any further comments relating to the above (Optional)

Do you have any concerns about the volunteer working with vulnerable people?

Yes

No

Please give futher information. (Optional)

Have you, or anyone else you know, ever had any concerns about the volunteer’s behaviour or judgement?

Yes

No

Please give further details. (Optional)

This role is considered exempt from the provisions of the Rehabilitation of Offenders Act 1974 (Exemption Order 1986). Please reveal any information you have about any convictions or cautions received by the volunteer. Please do not write N/A or not applicable. (Optional)

Do you have any further comments to support the volunteer’s application? (Optional)