Volunteer Reference Check Form | DONA International

Date:

Applicant's Name

Position applying for:

Name of Reference:

Reference email address:

Relationship to Applicant:

How would you rate the applicant’s strengths in the following areas? Rate (poor, fair, good, excellent or no experience). Please give examples.

Ability to work with others*

Ability to work with others EXAMPLE:

Organizational Skills*

Organizational skills EXAMPLE:

Ability to meet deadlines*

Ability to meet deadlines EXAMPLE:

Ability to follow up with tasks*

Ability to follow up with tasks EXAMPLE:

Ability to report to committee chair/project leader*

Ability to report to committee chair/project leader EXAMPLE:

Team leadership skills*

Team leadership skills EXAMPLE:

Communication Skills*

Communication skill EXAMPLE:

Professionalism*

Professional EXAMPLE:

Commitment/vision to birthing families*

Commitment/vision to birthing families EXAMPLE:

Commitment/vision to DONA International*

Commitment/vision to DONA International EXAMPLE:

What would you identify as an area that the applicant is working on or should be working on to improve?*

Are you aware of any performance issues with the applicant? If so, how were they resolved?*

Is there anything else you think would be beneficial for us to know about this applicant?*

Welcome!