2024 Camp Manitou Reference Form

Summer 2025 YMCA Camp Manitou Reference Form
Reference Instructions

The person you received this e-mail from has applied for a position at the YMCA Camp Manitou. We ask for both personal and professional references. Please complete the following information. Your comments will be held in confidence. Thank you for your cooperation.
Applicant's Name*

First NameLast Name
Your Name*

First NameLast Name
Your Email
example@example.com
Title (if any)
Company Represented (if any)
How long have you known this applicant?*
In what capacity?
How would you rate the applicant on the following qualifications?

Is often creative and energetic *

	1	2	3	4	5

1 is Weak, 5 is Good

Fully engages in activities*

	1	2	3	4	5

1 is Weak, 5 is Good

Shows effective leadership qualities*

	1	2	3	4	5

1 is Weak, 5 is Good

Is a valuable and cooperative team member*

	1	2	3	4	5

1 is Weak, 5 is Good

Takes initiative*

	1	2	3	4	5

1 is Weak, 5 is Good

Strong character: respectful*

	1	2	3	4	5

1 is Weak, 5 is Good

Strong character: responsible*

	1	2	3	4	5

1 is Weak, 5 is Good

Can follow routines and procedures*

	1	2	3	4	5

1 is Weak, 5 is Good

Manages own stress well*

	1	2	3	4	5

1 is Weak, 5 is Good

Is caring and supportive to others*

	1	2	3	4	5

1 is Weak, 5 is Good

Responsiveness to suggestions or criticism*

	1	2	3	4	5

1 is Weak, 5 is Good

Is a good role model for youth*

	1	2	3	4	5

1 is Weak, 5 is Good

Please pick 1-2 of the characteristics listed above and explain why they applicant was rated highly.
Please list any specific skills that you feel the applicant has which would contribute to the job:
Have you ever observed or heard anything about this candidate that would make you reluctant to recommend them for a job with children?
Would you be willing to leave your children in the care of this person for a week?*

YesNo
Any additional information you'd like to provide.
Signature*
Should be Empty:

Summer 2025 YMCA Camp Manitou Reference Form