Adult Reference Form

As an organisation committed to the safeguarding of children and young people, we must be sure that any new volunteers are suitable before they can take on their role and we would ask you to assist us in this important matter.

Could you please take a few minutes to complete this reference, which will remain confidential, and return it to the person identified at the bottom of this page? It would be very helpful to have your reply as soon as possible, so that the voluntary appointment is processed as efficiently as possible.

In commenting on the applicant, please would you bear in mind that the appointment under consideration may involve substantial work with children, young people or charitable funds. We would therefore appreciate you being extremely candid in your responses.


Data privacy statement

This form is used to collect information about you for the purpose of receiving a reference; this is to be used by us.

We do not share your personal data provided in this form with any third parties, and we take your privacy seriously. The data you provide to us is securely stored.



Referee's Details

* Your Full Name:
* Telephone 1:
Telephone 2:
Best Contact Time:
Email Address:
Your Address:

Applicants Details

* Applicant's Name:
Applicant's Address:

Reference Details

* How long have you known the applicant?:
* In what capacity:

Are you aware of any reason the applicant should not have any involvement with the Scouts? If you answer yes, we will contact you in confidence.
*


What attributes does the applicant have that would make them particularly suitable?
*
How would you describe their personality?
*
Please rate the applicant on the following:
* Working with young people:
* Responsibility:
* Maturity:
* Self motivation:
* Motivating others:
* Commitment:
* Trustworthiness:
* Working with other adults:
* Respect for others:

Are there any other comments you would like to make about the applicant?
 
Itchen South District Scouts
Cricket Camp, River Hamble Country Park, Pylands Lane, Bursledon, Southampton, SO31 1BH
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