Please provide two personal references below. If you provide an email for your references they will be automatically emailed, if you do not provide an email address please bring a paper reference to your orientation with the reference’s name and contact info and have them answer the following questions: How long have you known the applicant? In what capacity? To your knowledge does the applicant use good judgement? How responsible is the applicant? What special skills, gifts, and talents does the applicant possess? Do they relate well to people of all ages? Do you have any reservations about recommending this person to become a member of the Cottage Grove Time Exchange? Our new applicant has requested that you provide a reference in support of their application to become a member of Sustainable Cottage Grove. We are a community service exchange of neighbors helping neighbors. For every hour you help a neighbor in need you earn a time credit you can spend having any member provide you with a service you need. Everyone's time is equal no matter what the service. We respect and value everyone, no matter what your skill set or present circumstances may be. Because there is so much trust involved in exchanging between neighbors, we do reference checks on all potential members. Please complete the form below at your earliest convenience. We invite you to find out more about our organization and explore the benefits of joining, just as Our new applicant has! Learn more at https://www.hourworld.org Sustainable Cottage Grove Reference Form Applicant's name: Our new applicant Reference provided by: How long have you known the applicant? In what capacity? To your knowledge, does the applicant use good judgment? How responsible is the applicant? What special skills, gifts and talents does the applicant possess? Do they relate well to people of all ages? Do you have any reservations about recommending this person to become a member of Sustainable Cottage Grove? Anything that you would like to add? Best times to call you: Return To: cgtimeexchange@gmail.com Thank you for your time! Sustainable Cottage Grove Staff

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