VOLUNTEER  SERVICES  REFERENCE  VERIFICATION

Please print

Name of
Reference________________________________________________________________________

Address_________________________________________________________________________

________________________________________________________________________________

Phone___________________________________________________________________________

Applicant_________________________________________________________________________

The above applicant has applied for a volunteer position with Vaisnavas C.A.R.E. Inc.  We would appreciate your cooperation in checking the appropriate spaces below as they pertain to this applicant.  Kindly return this form at your earliest convenience, as the applicant's file is not complete without verified references.  Thank you for your anticipated cooperation. 

Number of years you have
known the applicant:________________________________________________________________

Relationship to applicant ____________________________________________________________

Please indicate how you would rate the applicant with regards to the following three qualities:

Comments_______________________________________________________________________

_______________________________________________________________________________

Signature:________________________________________________________________________

Please Return to:

Vaisnavas C.A.R.E. Inc.
Volunteer Department
P.O. Box 117365
Burlingame, CA 94010