Volunteer Reference Check
The information you provide will be kept confidential.
If you have any questions, please call Meals on Wheels at 808-356-8578 or Chanel at 808-356-8532 (9am-4pm, M-F)
Volunteer Applicant's Name
How long have you known this applicant?
In what capacity do you know this applicant?
References from family members or relatives will NOT be accepted.
Please comment on this applicant's strengths
Please comment on whether this applicant is appropriate for volunteering for senior services
Please comment on this applicant's characteristics. e.g. reliability, commitment, judgement, honesty, integrity, etc.
Please comment on whether this applicant embraces diversity. e.g. cultural, physical, social, age related, cognitive
Do you have any reservations about recommending this applicant for volunteer services?
Please share any additional comments about this applicant
Reference's Phone Number
Reference's Electronic Signature
Do Not Fill This Out