Employer Reference Form

* required information
Employer Reference 
Thank you for being a reference for a potential Big Brother or Big Sister. Please answer all questions honestly and completely as this is an important step in our screening process.
This is a questionnaire for Employer References only. If your name has been submitted by a potential as an employer reference for his/her application to become a Big Brother or Big Sister we ask you to fill out this short form.

Big Brothers and Big Sisters are adult volunteers who provide companionship, support, and guidance on a one-to-one basis to children between. A volunteer is expected to spend time weekly or monthly with a child for at least 12 months. Volunteers for the agency must be mature, responsible individuals who have the ability to relate to and work well with children. The information you provide will help us determine this applicants ability to be a good Big Brother or Sister. All the information you provide will be kept confidential.

If you would prefer to discuss this on the telephone, please call our Associate Program Director at 816.561.5269. Thank you for your time and consideration.
First Name:*
Last Name:*
Company Name:
Name of applicant you are providing a reference on:*
How long has the applicant been employed by your company? In what capacity?:*
What would you consider to be the applicant's strengths?:*
How would you describe the applicant's personality?:*
In your opinion, how well does the applicant finish projects or activities?:*
How would you describe this applicant's ability to relate to other people?:*
Do you anticipate any changes (promotions, transfer, layoff) in this employee's status during the next six months?:*
Would you feel comfortable with this volunteer serving as a mentor to a child of yours, or a child close to you?:*
What else would you like for us to know about this applicant?:*
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© 2010 Big Brothers Big Sisters of Greater Kansas City, 1709 Walnut Street, Kansas City, MO 64108, 816.561.5269