Reference Form: ROOMMATE/HOUSEMATE

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Roommate/Housemate Reference Form

All reference forms and answers are kept confidential. The person for whom you are providing a reference will not see your answers to these questions.

Please take the time to fully consider each question, and thank you so much for your valuable insight into this applicant.

Name*
First Last
Email*
Phone*
Which QVS applicant are you a reference for?*
What are the applicant's strengths and weaknesses as a housemate/roommate?*
In what capacity did you and the applicant live together and for how long?*
How does the applicant deal with conflict?*
How does the applicant deal with stress? Is the applicant flexible? Give some examples.*
Do you have any concerns about the applicant's ability to participate fully in an intensive year of community living, challenging service work, and spiritual exploration? Why or why not?*
Is there anything else you would like to share about this applicant?

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Roommate/Housemate Reference Form

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