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Get and Sign Online Referene Check Tool Form
Postal Code: ____________
Telephone(Day): ___________________ Evening: ___________________ Email Address: _____________________________
1. How long have you know the applicant?
2. What is your affiliation with the applicant?
3. What do you consider to be the applicant’s character strengths and how have they been demonstrated?
4. Would you recommend that the applicant volunteer in a Geriatric Healthcare facility?
Yes
No
(please explain)
5. Please evaluate him/her in the following areas...
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