Reference Form
Reference's Name
*
First Name
Last Name
Reference's Email
*
example@example.com
Reference's Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Applicant's Name
*
First Name
Last Name
Relationship to the Applicant
*
Parent/Guardian
Teacher
Pastor
Friend
Other
How long have you known the Applicant?
*
less than 1 year
1-2 years
3-5 years
5+ years
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Applicant's Character
Please Describe Applicant in the Following Areas
Relationship to Christ
*
Relationship to Authority
*
Greatest Strength
*
Greatest Weakness
*
Would you hire this individual to work for you?
*
Yes
No
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Applicant Position
Operational staff member is involved with campers daily but spends most of his/her day serving behind the scenes. A counselor spends virtually every moment of his/her day with campers and is directly involved with them on a spiritual level.
I recommend applicant as a(n)....
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Operational Staff
Counselor
How much would you recommend this applicant?
*
Strongly
With Reservations
Not to be hired
Why? *to previous question
*
Are you aware of anything in the applicant's background personality, or behavior that could in any way pose a threat to children or youth?
*
Yes
No
If yes to the above question, please explain.
By signing, you are stating that the above information is true and filled to the best of your ability.
*
Today's Date
*
-
Month
-
Day
Year
Date
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