• Reference Inquiry Form

    Please complete this form based on your involvement with the applicant. They have applied to work part-time or volunteer with Extend-A-Family Waterloo Region. We offer a variety of programs where support is provided by the applicant to someone with a disability.
  • Please comment specifically on the following in regards to the applicant:

  • Your information

    Please complete the following information about yourself.
  • Date Format: MM slash DD slash YYYY
  • This field is for validation purposes and should be left unchanged.