Reference Form Reference Form Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Applicant Details Full name of applicant *FirstLastReferee Details Referee name *FirstLastReferral address / place of work *Address Line 1Address Line 2CityState / Province / RegionPostal CodeHow long have you known the applicant and in what capacity? *What experience do you have of them? *Do you feel the applicant has the ability to work with young people individually and in groups? Please say why. * (only applicable for those applying for Exploration Programme and Activities role) *Do you feel that the applicant is able to handle confidential information in a responsible way? *Do you consider the applicant of good character, honest and trustworthy? *Do you have any reservations about recommending the applicant? *Referance Declaration Print your name (title, first and last name) *Reference declartion date *Submit