YEAR OF SERVICE REFERENCE FORM

In partnership with the Sisters of Mercy of the Americas, members of Mercy Volunteer Corps (MVC) enter into relationship with people who are experiencing injustices, in any form. In a spirit of mutuality, volunteers cultivate mercy and justice in the world by embracing compassionate service, social justice, spiritual growth, and a simple lifestyle in community.

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. 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, will be reviewed by MVC staff, an application screening committee, and supervisory staff at a potential service site for the applicant.

Please direct questions to Keri at kerigardner@mercyvolunteers.org.

"*" indicates required fields

Reference's Name*
Applicant's Name*

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.
1. Sense of humor*
2. Maturity*
3. Emotional stability*
4. Ability to get along with others*
5. Common sense*
6. Dependability*
7. Tact*
8. Ability to make decisions*
9. Initiative*
10. Flexibility*
11. Ability to accept criticism*
12. Effective use of time*
13. Ability to express feelings*
14. Ability to work alone*
15. Ability to work with others*
16. Ability to accept supervision*
17. Ability to adapt to new or unstructured situations*
18. Ability to process and reflect on life experiences*

Overall Rating

Overall, how would you describe the applicant?*
Please choose one.

Signature Authorization

Date*
This field is for validation purposes and should be left unchanged.

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