As part of the staff application process we require that all applicants have two references submitted.

Instructions:

1. Download and save this file to your computer.

2. Fill in your personal information where required on the form and save.

3. Email the forms to TWO non-family members that have agreed to act as a reference. If

possible we would prefer that ONE of the references be an employer (current or former) or

someone that you have worked in ministry with.

4. Your references will then fill out the forms and email them directly to us.

Please note that we cannot completely process your application until all references have been received.

Thank you for helping us process your application as quickly as possible.

Chris & Leslie Rolling

CWH Executive Directors

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Reference form instructions:

1. Fill in the necessary information and save.

2. Email this document as an attachment to .

This reference is for:

Name:
Mailing Address:
Phone Number:
Email Address:

To whom it may concern,

The applicant named above has requested that you act as a reference on their behalf as they apply to volunteer with Clean Water for Haiti. We are humanitarian mission that aims to provide the people of Haiti with clean water resources. For more information we would encourage you to visit our website at www.cleanwaterforhaiti.org.

Haiti can be a very difficult country to live in and because you know the applicant your insight is valuable to us. Please answer the questions honestly and candidly. All information that you provide us with will be kept confidential. For the benefit of the applicant we also ask that you return this reference as soon as possible so that we can process their application quickly. Completed reference forms should be sent via email to .

Thank you for your time and consideration,

Chris & Leslie Rolling

CWH Executive Directors

Please fill in the following information by clicking on the box and typing your response.

Reference completed by:
Mailing Address:
Phone Number (+area code):
Email Address:
Date completed (mm/dd/yyyy):
1. / How long have you known the applicant?
2. / What is your relationship with the applicant?
3. / How does this person work with others?
4. / We live and work in close quarters at Clean Water for Haiti. How do you think this person will function in this setting?
5. / From your experience, how does this person handle confrontation about an issue?
6. / What are some of this individual’s strengths?
7. / Haiti can be a very difficult country to live in with many cultural challenges. Are there things that you think might be especially challenging for this person?
8. / Is there anything else you feel we should know about this person?

Thank you again for taking the time to fill out this reference.

Chris & Leslie Rolling

CWH Executive Directors