CILT Reference Form

MIDSOUTH CAMP

CILT REFERENCE FORM

Please assist us in selecting our Midsouth Camp staff sponsored by the Midsouth Conference of the Evangelical Covenant Church. By completing this form you will aid the application process and provide needed information to select the most qualified staff. All CILT references will remain confidential and are due June 1. Please contact Dale Lusk at dale.lusk@covchurch.org with any questions.

CILT Applicant Name

First NameLast Name

How has the CILT applicant been involved in your church or organization during the past six months?

How long have you known the applicant and what does your relationship look like?

What type of example for Jesus Christ would you consider the CILT applicant to be?

If you indicated below average, what concerns do you have?

3. What are three of the CILT applicant's strengths for camp work?

How well will the CILT applicant be able to follow the guidelines of the director and provide fair discipline to the campers?

If you have concerns about the CILT applicant following guidelines or giving fair discipline, please comment:

What reasons would there be for you to hesitate this CILT applicant serving at camp?

Your name

First NameLast Name

What church or organization do you lead?

Your title

Your Phone Number

Please enter a valid phone number in case we have questions about your reference.Format: (000) 000-0000.

Your signature