Welcome! Thank you for taking a moment to share a reference with DONA International. Once you complete the form, click submit and your comments will be saved. Doula Reference Form Applicant's Name Name of Reference: Reference email address: Reference's Phone Number: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* Poor Fair Good Excellent No Experience Ability to work with others EXAMPLE: Organizational Skills* Poor Fair Good Excellent No Experience Organizational skills EXAMPLE: Ability to meet deadlines* Poor Fair Good Excellent No Experience Ability to meet deadlines EXAMPLE: Ability to follow up with tasks* Poor Fair Good Excellent No Experience Ability to follow up with tasks EXAMPLE: Ability to report to committee chair/project leader* Poor Fair Good Excellent No Experience Ability to report to committee chair/project leader EXAMPLE: Team leadership skills* Poor Fair Good Excellent No Experience Team leadership skills EXAMPLE: Communication Skills* Poor Fair Good Excellent No Experience Communication skill EXAMPLE: Professionalism* Poor Fair Good Excellent No Experience Professional EXAMPLE: Commitment/vision to birthing families* Poor Fair Good Excellent No Experience Commitment/vision to birthing families EXAMPLE: Commitment/vision to DONA International* Poor Fair Good Excellent No Experience 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?* Share this:Click to share on Facebook (Opens in new window)Click to share on Twitter (Opens in new window)Click to share on LinkedIn (Opens in new window)MoreClick to share on Pinterest (Opens in new window)Click to share on Tumblr (Opens in new window)Click to share on Reddit (Opens in new window)Click to print (Opens in new window)