Name of Person Giving Reference Telephone How long have you the applicant? Professionally Known Personally Known Yes No Have you ever observed this person with children? If yes, what are your impressions of the interaction? Would you recommend this person to work in a volunteer capacity with Yes No children alleged to be victims of abuse or neglect? Explain. How do you describe the applicant's ability to work effectively with others? Signature Date Telephone Number Check here if you are interested in learning more about becoming a guardian ad litem has applied to be a guardian ad litem volunteer. The Guardian ad Litem Program trains volunteers in the community to provide independent representation of the best interests of children in court proceedings. Your name was given as a personal reference and your input is being solicited as part of our background check of the applicant. Please fill out and return this form to the applicant or to our office by mail or fax. If you need more space to answer a question, you may write on the back of this sheet or use a separate sheet of paper. Name of Person Giving Reference Telephone How long have you the applicant? Professionally Personally Known
Name of Person Giving Reference Telephone How long have you the applicant? Professionally Known Personally Known Have you ever observed this person with children? Yes No If yes, what are your impressions of the interaction? Would you recommend this person to work in a volunteer capacity with children alleged to be victims of abuse or neglect? Explain. Yes No How do you describe the applicant's ability to work effectively with others? Signature Date Telephone Number Check here if you are interested in learning more about becoming a guardian ad litem has applied to be a guardian ad litem volunteer. The Guardian ad Litem Program trains volunteers in the community to provide independent representation of the best interests of children in court proceedings. Your name was given as a personal reference and your input is being solicited as part of our background check of the applicant. Please fill out and return this form to the applicant or to our office by mail or fax. If you need more space to answer a question, you may write on the back of this sheet or use a separate sheet of paper. Name of Person Giving Reference Telephone How long have you the applicant? Professionally Personally Known