2023 HMC Employment Reference

HIGH MEADOWS SUMMER DAY CAMP

1055 Willeo Road Roswell, GA 30075 770-993-7975
Employment Reference
You have been asked to provide a personal reference for an applicant to High Meadows Summer Day Camp. As one who is familiar with the character, abilities, and working habits of the applicant, we ask your assistance in completing this form as soon as possible so that we may give continued consideration to the applicant.

The position involves work with children aged 5 – 15 in a day camp program. We strive to provide a safe environment where campers can participate both in active and quiet out-of-doors activities in a social atmosphere of care, acceptance, and respect. Activity skills are taught in a non-competitive way and emphasis is placed on stewardship of the earth, personal enrichment, and community success.

We would greatly appreciate any information you may be able to give us with respect to the applicant’s abilities to fill such a position. Feel free to send any additional information or comments to jdovic@highmeadows.org.

Thank you very much for your assistance!
Date

MonthDayYear
Date
Applicant's Name:*
Person applying for employment at High Meadows
Reference Name:*
Your name
Reference Email or Phone Number:*
Your email or phone number
In what capacity and for how long have you known the applicant?*
How and for how long you've known this person
What three words come to mind when thinking of the applicant?*
Would you want this person as your child's camp counselor? Why or why not?*
Would you hire this person if the opportunity presented itself?*

Please evaluate the applicant on each of the following qualities. If you have no basis for judgment or are unsure, check “not observed”:*

	POOR	AVERAGE	GOOD	GREAT	NOT OBSERVED
Flexibility
Honesty
Ability to Accept Guidance
Leadership Ability
Open to Diversity
Emotional Maturity
Teaching Ability
Initiative
Dependability
Patience
Problem Solving
Behavior Management Skill
Energy / Endurance
Organization
Warmth and Compassion
Sense of Humor / Fun
Sensitivity to People of Different Abilities
Social Skills

Please comment on any qualities in which you rated the applicant "POOR" or "GREAT":
Is there anything else we should know about this applicant?
Signature:*

Clear
rev. 11/22 JMD
Should be Empty:

Now create your own Jotform - It's free!Create your own Jotform

HIGH MEADOWS SUMMER DAY CAMP

Employment Reference