Westmoreland
Volunteer Corps
Reference
form
Click
here to download the reference form as a Microsoft Word document.
Westmoreland
Volunteer Corps
Personal Reference Form
Westmoreland
Congregational United Church of Christ
1 Westmoreland Circle
Bethesda, Maryland 20816
(301) 229-7766
(Please
type or use black ink)
_______________________________________________is applying to the
Westmoreland Volunteer Corps, a program which places persons for one
year in service positions in agencies concerned with social justice.
The volunteers live together in intentional Christian community where
simple lifestyle is stressed. Your prompt but careful evaluation of the
applicant is needed to help us determine a satisfactory placement.
Please omit any questions you are unable to answer and feel free to
enclose any additional information.
1) How long and under what circumstances have you known the applicant?
2) Describe the applicant's personality (both strengths and weaknesses).
3) How does the applicant respond to stressful situations? To
decision-making situations?
4) What is your appraisal of the applicant's ability to live and work
with others? What kind of an impression does he/she make on others?
5) Please comment on any other areas that might be relevant (i.e.
family life, mental and physical health, religious background).
6) Would you recommend this applicant for acceptance in the
Westmoreland Volunteer Corps?
Signed
Date _______________________ Occupation _____________________________
Name ______________________
Address ___________________________________________________________
E-Mail Address ____________________ Telephone Number __________________
(Please return completed reference form as soon as possible to the
Westmoreland Volunteer Corps board at the above address.)
Last updated Friday,
February 15, 2008
1
Westmoreland Circle
Bethesda, MD 20816
301-229-7766
Email the church office: churchinfo@westmorelanducc.org
www.westmorelanducc.org
An
Open and Affirming Congregation
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