BSVM Peer Reference Please ask an individual (someone other than a relative or significant other) with whom you have lived for at least a year to complete this form. Peer Reference About Bon Secours Volunteer MinistryBon Secours Volunteer Ministry, sponsored by the Sisters of Bon Secours, provides the opportunity for women and men to participate in the Sisters’ commitment to justice in radical solidarity with the poor, the suffering, and those most in need. In order to do this, Bon Secours Volunteer Ministry supports individuals throughout a year of full-time service primarily within an urban neighborhood in Baltimore, Maryland or Richmond, Virginia. Due to our specialization in health care, education, and social service, Bon Secours Volunteers minister in hospitals, clinics, public health settings, tuition-free private schools, family resource centers, adult learning centers, and other agencies which strive to address the needs of people who face economic injustice. In addition to learning from their full-time service, Bon Secours volunteers commit to: develop an intentional community, grow spiritually, live simply, and practice God’s justice. Throughout this year, volunteers discover that by sharing the Bon Secours’ charism of compassion, healing, and liberation with others they, in turn, receive the charism from those they serve. Applicant Name* First Last Reference Name* First Last Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone*Email* About this Reference FormWe ask that you help us to get to know the applicant as we consider his or her acceptability to the mission and commitments of Bon Secours Volunteer Ministry. No applicant will be rejected on the basis of a single reference. Feel free to omit any questions that you are not prepared to answer. Your response is an integral part of the application process and we appreciate your time. 1) How long have you known the applicant?2) Please describe the context of your relationship with the applicant.3) After considering the above description of Bon Secours Volunteer Ministry, please explain why you feel this applicant is a strong candidate.4) What makes the applicant unique? In a few sentences, please describe the applicant’s character, their outstanding personality traits, and their limitations.5) Which aspects of the applicant’s personality may help the applicant in living and working with others? Which aspects may hinder the applicant in living and working with others?6) Please describe how the applicant approaches and addresses conflict.7) How would you describe the applicant’s style of communication? How does their mode of communication impact how they live with others?8) Please tell us one way that this applicant been a healing presence to you.Additional Comments:RECOMMENDATION*Highly recommendRecommendRecommend with reservationsDo not recommendElectronic Signature* Checking this box serves as my electronic signature.I certify that I am the person named above and these answers represent my own opinion and feelings.