EDEN VALLEY INSTITUTE
VOLUNTEER REFERENCE FORM

    The above person has applied at Eden Valley Institute and has given your name as a reference. Your careful and honest evaluation is valued and necessary for us to make a final decision regarding this individual. This referral form will be kept strictly confidential. Since this form must be on file before acceptance can be considered, your prompt completion of this form is appreciated. Thank you very much for your assistance and for your time in providing us with your honest appraisal of this applicant. 

    l. How long have you known the applicant? 
    What is your relationship to the applicant?
    5. If you would be willing for us to contact you further about the applicant, please provide a telephone number where you may be reached during normal business hours as well as an email address: 
    7. Please indicate the number below which best describe the applicant for each category of evaluation. (Note: "5" indicates the applicant is most like the characteristics on the left side, and "1" the characteristics on the right side. "4," "3," and "2" show moderate association with either side. If you have inadequate information concerning any, please indicate so my choosing n/a) 


    A. Spirituality
    B. Intellect
    C. Judgement
    D. Service
    E. Industriousness
    F. Relationship to the Church
    G. Healthy Lifestyle
    H. Sociability

    strong, stable, growing
    vigorous, creative, learning
    sound, careful, teachable
    compassionate, unselfish
    diligent, thorough
    loyal, supportive
    conscientious, healthy
    secure, outgoing, friendly

    immature, shaky, stagnating
    slow, unmotivated, self-stisfied
    rash, impulsive, headstrong
    indifferent, self-centered
    lazy, incompetent
    critical, divisive, distant
    uninformed, careless
    shy,introverted, unsocial
    8. I am acquainted with the principles and policies which characterize life at Eden Valley Institute.