YOUTH VOLUNTEER REFERENCE

Referee's Information
Name*
First Last
Phone (home):*
Phone (cell):*
Email address:*
Street Address:*
Street Address City State ZIP Code
Reference
Potential volunteer's name:*
First Last
Potential volunteer's Center preference:*
Potential volunteer's year in school:*
Based on your experience with this student, do you believe he/she has the maturity to work in a program for health impaired older adults, some of whom have Alzheimer’s disease or another disease or disability causing severe confusion?*
Does this student’s dress and communication style convey respect for those around him/her?*
Have you ever had reason to doubt this student’s honesty?*
Based on your experience with the student in the academic setting, do you believe volunteering in a Day Center and Assisted Living program for older adults would be a good experience for this student and the older adults with whom he/she would be working?*
Signature:*
First Last
Date:*
Thank you for your time in helping to determine the appropriateness of our center as a venue for your student’s growth through volunteering.
Data Consent*
- I have read and agree to the Privacy Policy

Volunteers truly make a difference is the lives of those we serve. With opportunities for youths, adults, and groups, there are so many ways to get involved.

Learn More

Volunteers truly make a difference is the lives of those we serve. With opportunities for youths, adults, and groups, there are so many ways to get involved.

Learn More

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Columbia Address

Howard County Center
5460 Ruth Keeton Way
Columbia, Maryland
21044
Info: 410-964-9616

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Olney Address

Montgomery County Center
18110 Prince Philip Dr.
Olney, Maryland
20832
Info: 301-774-7501

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Connect on LinkedIn

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If you have questions or you’d like to schedule a visit, just use the form below and we’ll get back to you. Thanks!

Winter Growth is a 501(c)(3), a Montgomery County Dementia Friendly Business, a GuideStar Exchange Platinum Participant, a Howard County Original Business, a 2017 Top-Rated Nonprofit on GreatNonprofits, a 2024 COGS Member, and a proud member of the Olney Chamber of Commerce.

Winter Growth as a recipient of federal financial assistance has a non-discrimination policy as required by Section 601 of Title VI of the Civil Rights Act of 1964, Section 504 of the Rehabilitation Act of 1973, and the Age Discrimination Act of 1975. Specifically, that policy states that no person will on the grounds of race, color, religion, age, sex, national origin, ancestry, or disability, be excluded from participation in, be denied benefits of, or otherwise be subjected to discrimination in the provision of any care, service, or employment. This institution is an equal opportunity provider and employer.

If you believe you have been subjected to unequal treatment because of race, color, or national origin, then you have a right to file a formal complaint.

Complaints may be filed within one hundred-eighty (180) days following the date of the alleged discriminatory action. Requests for more information or complaints may be submitted to Human Resources by mail (18110 Prince Philip Drive, Olney, MD 20832), telephone (410-964-9616), or email.

The USDA and MSDE are equal opportunity providers.

YOUTH VOLUNTEER REFERENCE

Referee's Information

Reference