Thank you for being a reference for your friend or colleague who is applying to become a volunteer for Eden Health. We appreciate your honesty and promptness in responding and assure you that the content of your reply is confidential.

If you don't receive a confirmation email from us within a week, please contact us at

Volunteer Reference Form

Name of Applicant(Required)
Your Name(Required)
What is your relationship to the candidate?(Required)

Please select the rating you would apply to this person:

Do you know of any reason the applicant should NOT be a volunteer at Eden Health?(Required)
Would you entrust your loved ones to this person?(Required)
Do you feel this person can make a contribution to our organization?(Required)
Do we have your permission to contact you for more information?(Required)
Electronic Signature (Please type name)(Required)
MM slash DD slash YYYY
This field is for validation purposes and should be left unchanged.