Reference Form

The mission of the Volunteer Program is to support and enhance the services provided to patients, visitors, staff, and the community. Our volunteers play a large role in delivering quality services by providing a variety of volunteer services. Our volunteers must possess self-motivation and maturity. We appreciate your completing this form so that we may make a decision on the applicant’s ability to fulfill the responsibilities involved in our volunteer program.

Please evaluate the applicant in the following areas:
Displays courtesy, tact, patience *
Works well with a diverse population *
Exhibits interest and enthusiasm for a volunteer position *
Accepts responsibility and commitment *
Seeks opportunity to improve and advance *
Accepts supervision in a positive way *
Is dependable and punctual *
Would you recommend this person for a volunteer position at University Medical Center of El Paso? *
Evaluator's Signature *
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