Maine 4-H Youth Development Volunteer Reference Form

Adults in volunteer positions with UMaine Extension help youth have fun while they learn new skills, increase their abilities to work together, learn to manage their own activities, and develop into productive adults.

Cooperative Extension seeks your assistance in selecting the best qualified people to serve in volunteer roles. We will appreciate your prompt completion of this reference form. All comments will be treated in a confidential manner.

Your Contact Information









Applicant Information






Rating of Applicant's Qualities

Please rate the applicant on a scale of 1-10 for the following qualities.

1 is the lowest while 10 is the highest.













Please share your impression and knowledge of the applicant’s qualifications for the position by using specific examples, if possible.










I agree that my responses on this reference form are true and have been completed to the best of my ability.


University of Maine Cooperative Extension is an equal opportunity institution and provider committed to nondiscrimination. For more information, visit extension.umaine.edu/nondiscrimination.

University of Maine Cooperative Extension
15 Estabrooke Drive
Orono, ME 04469
207.581.3188
1.800.287.0274 (in Maine)
E-Mail: extension@maine.edu