Y.E.S. Volunteer Reference Check Form (F20)

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Thank you for providing a reference for a YES Volunteer. Youth Educational Services (YES) is the community engagement center at Humboldt State University.

YES volunteers engage with children, youth and elders in local schools and community sites. They are responsible for being university ambassadors, following risk management guidelines, and contributing positively to volunteer sites.

We appreciate your time and effort!

Today's Date *

YYYY

Reference Name: *

Applicant name (the person you are providing a reference for) *

Volunteer program applied for (if known) *

ART

Environmental Education (EE)

Golden Years (GY)

Hand-in-Hand (HnH)

Juvenile Hall Recreation Program (JHRP)

Puentes

Queer Mentoring and Advocacy Program (QMAP)

Study Buddies (SB)

Youth Mentoring Program (YMP)

Unknown

In what capacity do you know the applicant? *

In your opinion, does this applicant possess the qualifications or attributes to be a competent volunteer? Please explain. *

Do you have any concerns about their ability or conduct that would make you suspect they might be an unsafe or inappropriate volunteer (when working with children, youth or elders)? *

Yes

Is there anything else you'd like to share about this volunteer applicant?

Submit

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