IJOC-EC  

EXHIBIT

SCHOOL  VOLUNTEERS

REFERENCES

Please list three friends or employers, preferably local, who have known you for two (2) years or more and whom we may contact:

1.  Name     ____________________________________________________________

Address      ____________________________________________________________

                   _____________________________________     Zip Code _____________

Phone        _____________________________________

2.  Name     ____________________________________________________________

Address      ____________________________________________________________

                   _____________________________________     Zip Code _____________

Phone        _____________________________________

3.  Name     ____________________________________________________________

Address      ____________________________________________________________

                   _____________________________________     Zip Code _____________

Phone        _____________________________________

______________________________________________        ____________________
Signature                                                                                     Date