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Reference Form

Mercy Volunteer Corps promotes social change by placing and supporting volunteers for one year of service with people who are poor and marginalized in the U.S. and South America. Volunteers work in education, healthcare, and social services while living together in a community and growing spiritually.

The applicant has chosen you to share more with us as we consider whether Mercy Volunteer Corps and the applicant are compatible. Your candid comments will aid in our discernment process. If you would prefer to submit this form as a Word document or would like to use the Catholic Volunteer Network Common Reference Form please email

Feel free to omit any questions that you are not qualified to answer. No applicant will be rejected on the basis of a single reference. This reference, along with the complete application packet, may be reviewed by a screening committee, staff, and supervisory staff at a potential service site for the applicant.

  • Mercy Volunteer Corps' mission statement: “In partnership with the Sisters of Mercy of the Americas, members of Mercy Volunteer Corps enter into relationship with people who are economically poor or marginalized. In a spirit of mutuality, volunteers cultivate mercy and justice in the world by embracing compassionate service, social justice, spirituality and a simple lifestyle in community."
  • Characteristic Evaluation

    Please indicate which description best fits the applicant for each characteristic below. Please use the comment section at the bottom of this page to elaborate on any answer you feel would benefit from an explanation.
  • Overall Rating

  • Please choose one.
  • Signature Authorization

  • MM slash DD slash YYYY

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