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.


In complying with the letter and spirit of applicable laws and pursuing its own goals of diversity, the University of Maine System does not discriminate on the grounds of race, color, religion, sex, sexual orientation, transgender status, gender, gender identity or expression, ethnicity, national origin, citizenship status, familial status, ancestry, age, disability physical or mental, genetic information, or veterans or military status in employment, education, and all other programs and activities. The University provides reasonable accommodations to qualified individuals with disabilities upon request. The following person has been designated to handle inquiries regarding non-discrimination policies: Director of Equal Opportunity, 5713 Chadbourne Hall, Room 412, University of Maine, Orono, ME 04469-5713, 207.581.1226, TTY 711 (Maine Relay System).

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