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Telephone Crisis Supporter Reference Check - Lifeline WA

Telephone Crisis Supporter Reference Check - Lifeline WA

Telephone Crisis Supporter Reference Check - Lifeline WA

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REFERENCE CHECKName (Volunteer):Referee:Date:Phone:In order to ensure confidentiality, please return this form by post, addressed to:Human Resource Officer<strong>Lifeline</strong> <strong>WA</strong>GPO Box K765East Perth <strong>WA</strong> 6892Information provided in this form will be regarded as confidential material.1. How long have you known the applicant and in what capacity?_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________2. Can you briefly describe the applicant’s personality?_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________3. What do you consider to be their most positive attributes?_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________4. What do you identify as their weaknesses?_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________5. Are there any significant problems, issues or concerns you think could impact on their role a<strong>Telephone</strong> <strong>Crisis</strong> <strong>Supporter</strong>?_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________


6. How comfortable would you be talking to the applicant about a personal problem you wereexperiencing?_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________7. The applicant has volunteered for the position of volunteer as <strong>Telephone</strong> <strong>Crisis</strong> <strong>Supporter</strong> with<strong>Lifeline</strong> <strong>WA</strong>, in your opinion do you think the applicant is suited to the role?_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________8. Is there anything else you consider to be important which may help us in our decision?_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Comments: ________________________________________________________________________________________________________________________________________________________________Signature: ______________________________________________________________________________(Source: Adapted from Volunteering Standards Manual, Volunteer Centre of <strong>WA</strong>, 1997)

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