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 young adults 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. As a public health focused ministry, Bon Secours Volunteers work in hospitals, clinics, 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 FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin 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. Δ