Summer Camp Staff Reference Form

Camp Staff Reference Form

Please take the time to evaluate this applicant by thoughtfully and accurately filling in the information below.
Your Information
Your Name*

First NameLast Name
Relation to Applicant *
If other, please explain
Your Phone Number*
Your Email Address*
Applicant's Information
Applicant’s Name*

First NameLast Name
Is the applicant a Christian?*

YesNo
How long has the applicant been a Christian?*
About how long have you known this applicant? *
Would you recommend this applicant to supervise a child/children?*

YesNo
If no, why?
In one or 2 words how would you describe the applicants personality? *

How would you rank this applicant in the following areas?

	Excellent (top 5%)	Above Average	Average	Below Average	Poor (bottom 5%)	N/A
Active Interest in Service
Leadership Ability
Honesty
Ability to work with others
Attitude toward authority
Attitude toward work
Personal appearance
Ability to work with children
Follows Direction
Communication Ability
Patience
Tact
Courtesy
Maturity
Initiative
Punctuality
Dependability
Sense of Humor
Adaptability
Respect for others
Creativity
Organization
Problem solving
Teamwork

Would you recommend the applicant for hire? *
Why would you hesitate?*
How is the applicant growing in Christ - Examples *
Does the applicant actively share their faith with peers? - Example*
What are some strength's you see in the applicant? *
What are some weaknesses you see in the applicant? *
In your opinion what are the applicants motives for applying?
Any relevant remarks?
Date reference was completed

MonthDayYear
Thank you for taking the time to fill out this reference on behalf of a potential Homelani Camp Staff member. If you have any questions please email the following individuals:

sarah.sloan@salvationarmy.org david.aycock@usw.salvationarmy.org joleen.aycock@usw.salvationarmy.org
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Camp Staff Reference Form