Volunteer Reference Request

We have been given your details to provide a character reference. Please fill in the form below. If you have any questions or require this form in a different format, please email volunteering@carersleeds.org.uk.

In accordance with the terms of the GDPR, we’ll disclose the contents of your reference, if the volunteer makes a request to see it.

Thank you in advance and we look forward to hearing from you.

Please note:

  • There is no ‘Save’ function whilst using this online form page.  We advise you prepare your reference in a word processor prior to copying & pasting your response in to this form. If you do not have Word you can download a free Office alternative called Libre Office for Windows or  Libre Office for MACs.
  • Clicking back on your browser history will lose any information you have entered in to this form prior to submission.
  • In order for this form to work, please ensure you are using an up-to-date web browser – accepting our data/cookie policy is required.
  • Confirmation will be sent once your reference has been successfully submitted. Please check your email, including ‘junk/spam’ folders’.

    An asterisk * indicates a mandatory field
    Section One: Personal Information

    Name of volunteer*

    How long have you known them?*

    In what capacity?

    Please comment on their honesty, trustworthiness, reliability, commitment, and punctuality*

    Do you feel that he/she/they coiuld be trusted with personal/confidential information?*

    Is he/she/they good at both listening and starting/maintaining a conversation?*

    How do you feel he/she/they would cope with stressful situations e.g. a carer crying, being angry or being too upset to communicate at all?*

    Is he/she/they likely to accept and adhere to guidelines and ground rules?*

    What skills, knowledge, and abilities do you think he/she/they could bring to Carers Leeds?*

    Do you have any concerns about him/her/them volunteering for Carers Leeds?*

    Are there any additional comments that you wish to make?*

    Your Name*

    Date this form was submitted