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Reference Form

Thank you for taking the time to provide a reference for an applicant who has expressed an interest in volunteering with Foyle Hospice. You have been contacted by Rachael Dobbins and received this link to complete a short online reference form. Please complete and submit the form at your convenience. If you have any questions, you can contact Rachael at rachaeldobbins@foylehospice.com Any information you provide will be treated in the strictest confidence in accordance with relevant data protection legislation and will only be shared with the person(s) conducting the assessment of the applicant’s suitability for the role(s). We would appreciate your honesty in the evaluation of this person.

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Your information

Please select your relevant title
Name(Required)
Please enter your name
Address(Required)

Applicant information

As it appears on the email.
As it appears on the email.

Please rate this person on the following by ticking one box for each statement.

Responsibility(Required)
Maturity(Required)
Self-Motivation(Required)
Teamwork(Required)
Trustworthy(Required)
Reliability(Required)
Would you consider that the above named person poses any risk to the welfare of vulnerable adults?(Required)

Thank you for taking the time to complete this reference.

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Accessibility

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