This document is a reference form for prospective volunteers of Hospice of Dayton. The form requests information from references about how long they have known the candidate, their relationship to the candidate, their assessment of the candidate's interpersonal skills, and ratings of the candidate's dependability, emotional skills, adaptability, initiative, communication skills, and interpersonal skills. References are also asked if the candidate should not volunteer, if the candidate can make a contribution, if they would entrust loved ones to the candidate, and if the reference can be contacted for more information.