Vulnerable Sector - Employment - Volunteer Supervisor Reference

Boys and Girls Club Big Brothers Big Sisters of Edmonton is an organization that enrolls volunteer mentors to provide a healthy role model to children and youth in our community. Volunteer mentors must provide a stable, positive influence over the period of their commitment, which is usually a school or calendar year. Many of the resilient children and youth in our programs have experienced challenges in their lives; relying on the consistent presence of a mentor makes a difference in their lives, likewise ending this important relationship sooner than expected can have a detrimental effect on the young person. Help us Start Something for our community’s youth by providing a reference that, to the best of your knowledge, is an honest reflection of the applicant and their ability to be a positive influence in the life of a child.

Your responses will remain confidential.

Thank you.

Name of person who you are providing a reference for?*
Your Name*
Best Contact phone number?*
Your Email:*
1. Please specify/explain if the applicant has worked with one or more of the following vulnerable populations (Children, Older Adults, Persons with disabilities/special needs) within your business/organization? If the applicant did not work with any vulnerable populations please put “None”.*
2. What is/was the role of the applicant with your business/organization (Employee, Volunteer or Student Placement)?*
3. How long have you known the applicant and in what capacity?*
4. Does/did the applicant report directly to you, yes or no? Please include any additional information as required.*
5. How long did the applicant, volunteer or work for your business/organization?*
6. Did the applicant take on more responsibility or additional roles as time passed, Yes or No? Please include any additional information as required.*
7. How did the applicant receive support and/or training?*
8. (If Applicable) Why did the applicant resign?
9. Did you know the applicant was applying to be a mentor, yes or No? If so, what was your reaction?*
10. What personal strengths do you feel the applicant has to offer in their role as a mentor?*
11. Based on your knowledge of who the applicant has in their life, to whom would they most likely turn to, or be most responsive to, for support or guidance?*
12. Can the applicant be counted on to follow through on the commitments they undertake, yes or no? Please include any additional information as required.*
13. To your knowledge, has the applicant ever had any trouble following rules, yes or no? If so, what kind of rules?*
14. Are you aware of any complaints being made or disciplinary actions being taken against the applicant, yes or no? If so, please explain?*
15. Have you witnessed the applicant interacting with children? If so, how does the applicant interact with or relate to children?*
16. Have you witnessed the applicant interacting with another vulnerable population? If so, please specify the population and comment on the interactions?*
17. Have you ever known the applicant to be inappropriate (emotionally, physically, verbally, or sexually) with either adults or children, yes or no? If yes, please explain?*
18. Would you recommend the applicant as a mentor for a child or youth?*
19. Is there anything you would like to add that would aid us in our decision?
Thank you so much for completing the required reference!  Should you have any questions or concerns, please don't hesitate to contact us @ 780-424-8181.