Professional Reference Form

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CODES at Mile High Pines

Thank you for your willingness to be a reference!

A few things to know before you get started:

1. Your responses are confidential.

2. This form should take 15-20min.

3. Please be honest and thorough.

Mile High Pines is a Christian camp facility in Southern CA that offers guest group rentals of our facility as well as the CODES Outdoor Education program for 5-8th grade school groups. The applicant referred to on this form has applied to join our outdoor education team as either a Naturalist or Cabin Leader.

Visit our website for more info: www.codesschool.com
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Your Name:* This field is required.
First
Last
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Applicant's Name:* This field is required.
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Position applicant has applied for:Choose all that apply.
Naturalist
Cabin Leader
I don't know
Other
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How long have you known the applicant?* This field is required.
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What is your relationship to the applicant?* This field is required.
Manager/Supervisor
Business Owner/CEO/President
Client
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Briefly list the applicant's job title, dates of employment, and work duties. * This field is required.Month and year suffice for dates of employment.
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Demonstrated Leadership ability:* This field is required.
Poor
Excellent
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Please explain your rating.* This field is required.
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Responsibility and Reliability:* This field is required.Consider punctuality, thoroughness in tasks, moving from one task to the next without micromanagement, quality of work, etc.
Poor
Excellent
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Please explain your rating.* This field is required.
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Customer Service:* This field is required.
Poor
Excellent
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Please explain your rating.* This field is required.
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Respect for Authority:* This field is required.
Poor
Excellent
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Please explain your rating.* This field is required.
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Flexibility:* This field is required.Consider how the applicant responds to schedule changes, changes in policy or procedures, poorly planned activities, etc.
Poor
Excellent
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Please explain your rating.* This field is required.
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Communication skills:* This field is required.Consider whether complaints/concerns are voiced properly, public speaking ability, communication of needs, openness to contradictory opinions, etc.
Poor
Excellent
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Please explain your rating.* This field is required.
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Self-Control during conflict, disagreement, or frustration:* This field is required.Consider the applicant's habits when upset, frequency of occurrence, length of time required to move past an issue, etc.
Poor
Excellent
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Please explain your rating.* This field is required.
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Maturity Level:* This field is required.Consider the applicant's response to stress or menial tasks, his/her self-initiative, propriety in appearance or behavior (humor, topics of conversation) emotional intelligence, wisdom, etc.
Poor
Excellent
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Please explain your rating.* This field is required.
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How would you describe the applicant's personality?* This field is required.
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Has the applicant ever received verbal counseling or a written warning on the job? If so, briefly describe the incident.
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How does the applicant handle criticism or critique? Provide an example.* This field is required.
Huge
Large
Normal
Small
Ok
Ok
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Describe two (2) job-related strengths the applicant possesses.* This field is required.
Huge
Large
Normal
Small
Ok
Ok
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Describe two (2) job-related areas for improvement the applicant possesses.* This field is required.
Huge
Large
Normal
Small
Ok
Ok
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Please list any observations (both accolades and concerns) you may have about the applicant's ability to work with children and teens:
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Company policies aside, would you rehire the applicant?
Yes
No
Conditional
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Is there anything else you would like us to know about the applicant?Hesitations, recommendations, insight, etc.
Should be Empty: