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Reference

Reference Form

Reference Form

Applicant’s Name
Applicant’s Name
First
Last

The above-named individual has applied for a position with The Maternity Home of the Hudson Valley. MHHV would appreciate a confidential statement from you concerning the applicant's conformity to the qualities listed below and their expected ability to carry out their duties for MHHV. Please include how long and in what capacity you have known the applicant.

Desired Qualities – As part of MHHV, the applicant will work for or with women who may be facing the decision of an unplanned pregnancy. Some of the qualities desired in staff and volunteers are:

  • A genuine commitment to Jesus Christ as Savior and Lord of their life.
  • A willingness to give of themselves with compassion to the women they will serve.
  • Dependability and responsibility to perform their role and corresponding activities with excellence.
  • An ability to uphold their commitments to the Mission, Values, and Policies of MHHV.

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Your Information

Your Name
Your Name
First
Last
Address
Address
City
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Zip/Postal