Volunteer Mentor Reference Check: Teacher

Reference: Teacher Reference Form

Big Brothers Big Sisters is an organization that enrols 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.

"*" indicates required fields

Your Name*

First Last

Your Email

Your Phone*

Please enter the name of the applicant you are providing a reference for.*

First Last

How long have you known the applicant and in what capacity?*

Did you know the applicant was applying to be a mentor?*

Yes

If Yes, what was your reaction?*

If No, please write N/A

What personal strengths do you feel the applicant has to offer?*

Can the applicant be counted on to follow through on the commitments they undertake?*

Yes

Please explain your response above.*

To your knowledge, has the applicant ever had any trouble following rules?*

Yes

If Yes, what kind of rules?*

If No, please write N/A

Would you recommend the applicant as a mentor for a child or youth?*

Yes

Is there anything you would like to add that would aid us in our decision?

Please rate the student on the following characteristics

Please provide a brief explanation if your answer reflects a “somewhat good”, “poor” or “extremely poor” rating.

Flexibility*

Ability to accept feedback*

Maturity*

Ability to manage time well*

Ability to get along with others*

Attentive*

Ability to be on time*

Ability to work unsupervised*

Please provide a brief explanation if any of your answers reflect a “somewhat good”, “poor” or “extremely poor” rating.

Please confirm your full name*

First Last

Date*

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