Novant Health UVA Health System
Junior Volunteer Evaluator Recommendation Form
Participation in the Junior Volunteer Program requires a high level of maturity, responsibility, and committment. Applicants are accepted based on their application, recommendations, and interview. Please take the time to honestly evaluate this applicant by filling out the form below. We appreciate your insights, and your responses will remain confidential.
Junior Volunteer Applicant:
Please rank this applicant using the following criteria: *
 AlwaysUsuallyFrequentlyRarelyNo Opportunity to Observe
Applicant displays conduct appropriate to a setting.
Applicant works well with peers and adults.
Applicant completes assigned tasks.
Applicant accepts responsibility for assigned tasks and personal behavior.
Applicant listens and follows instructions.
Applicant demonstrates effective oral communication.
Applicant is resourceful and self-reliant with new situations.
Applicant demonstrates respect for others, accepts supervision, and treats others with kindness.
Applicant acts appropriately in a given situation.
Applicant is punctual.
Evaluator: Once you answer the final question below, you will receive an automatic reply email with a copy of your responses. Please check your email to ensure that we have received your reference. If it does not come to your regular inbox please check your SPAM folder. Thank you for taking the time to complete this questionaire, your input is sincerely appreciated!
If you have any questions, please contact:
Jude Kelly, Volunteer Programs Coordinator
Novant Health UVA Health System Prince William Medical Center * 703-369-8173
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