Clone of Bongiorno Confidential Reference Form

Confidential Reference Form

Thank you for taking the time to assist us in the hiring process. This is a confidential document. All information obtained will be kept confidential. The person this reference is for will not see this form when you have finished, nor should they be present as you fill it out.
We are a Christian Camp and Conference center. We work hard at providing a quality product and exceptional service for each of our guests. We learn, love and laugh together as a team. Employee’s here are part of a family of people that care for one another. We will ask that you have a Christ-like attitude at all times while working at BCC. Our desire for each guest that is on our campus is for them to experience the love and care that Christ offers each of us.

A negative (or honest) response to the questions below will not necessarily exclude the applicant from being hired, but will rather allow us (in all confidence) to interview the applicant in a manner that will help us best decide whether they are right for service in a particular department. Please feel free to contact me if you have any concerns or questions.
Please note: The person for whom you are filling out this form will not be considered for hire until you have submitted this confidential form.
Carl Redding - Executive Director
credding@bccretreats.com
Contact Info

In case we need more details regarding this reference.
Your Full Name*

First NameLast Name
Your Phone Number*

Area CodePhone Number
Your Email*
Information about the Applicant
Applicant Full Name (NOT your name)*
The name of the person for whom you are filling out this reference form
What is your relationship to the applicant?*
How well do you know the applicant?*

Very WellSomewhat WellClassroom OnlyBusiness OnlyOther
What level of communication have you had with the applicant in the last year?*

FrequentModerateLittleOther
Personality

Please rate the applicant on a 1-5 scale with 5 being the BEST. Please skip any questions in which you have no knowledge.

Work Ethic

	1	2	3	4	5

1 is Worst, 5 is Best

Trustworthiness

	1	2	3	4	5

1 is Worst, 5 is Best

Evidence of Being a Team Player

	1	2	3	4	5

1 is Worst, 5 is Best

Flexibility

	1	2	3	4	5

1 is Worst, 5 is Best

Tact

	1	2	3	4	5

1 is Worst, 5 is Best

Emotional Balance

	1	2	3	4	5

1 is Worst, 5 is Best

Anything you would like to elaborate on concerning the above?
Suitability for Employment

Please answer these questions to the best of your knowledge
Do you feel the applicant is spiritually, emotionally, and physically ready for a busy summer?*

YesNoUnsureOther
Do you know of any lifestyle, conduct, or activity in which this individual is or has been involved that could hinder his or her work with us, or impede the organization's credibility?*

YesNoOther
Do you have any knowledge of this person having ever been formally accused in a written statement of a crime of any nature or of a pending criminal or civil trial?*

YesNo
Have you ever noticed any racial prejudice in the life of the applicant that would make cooperation with those of another race or nationality difficult?*

YesNo
How well does the applicant receive instruction or deserved criticism from a supervisor or teacher?*

Very WellWellWell, depending on the situationPoorlyI have no knowledge regarding this questionOther
Please describe the applicant's judgement and common sense.*
Would YOU hire this person, if you were in the position to do so?*

Yes, without reservationYes, with some reservationsNoUnsureOther
If yes, do you think this person should work at camp because of what he/she can contribute to our program, or because of what we can do for him/her? If no, why? Please explain in as much detail as possible.*
Please place a check in the box that best describes the applicant.

Please CHECK ALL that apply.

Please skip any questions in which you have no knowledge.
Peer Relationships

Very PopularMakes Friends EasilySlow to Make FriendsGenerally a LonerOther
Family / Home Relationships

Healthy and supportiveHealthy, but not currently supportiveProblematic, but supportiveProblematic and not supportiveOther
Response to stress / pressure

Copes WellAdapts SlowlyWithdrawalsDominates the situationBecomes overly critical of othersOther
Applicant relates to the opposite sex

Relates WellMature / AppropriateInappropriateInsensitiveInsecureDiscriminatory / SexistUnhealthyOther
Level of Spiritual Maturity

Mature and ConsistentMaturing / Fairly ConsistentGrowing / Showing signs of continued maturityUp and Down / Inconsistent spiritual experienceImmatureOther
Ability to work independently and under supervision

Independent worker / able to take direction and goWorks well once given directionNeeds regular supervisionNeeds accountabilityDoes not respond well to supervisionLazyOther
Working Relationships

Works well with othersAverage ability to work with othersOccasional difficulty working with othersDoes not work well with othersOther
When conflict arises, this person generally responds with:

PeacemakingOpenness to resolving conflictConfrontationWithdrawal / AvoidanceLack of cooperationDefensive / Critical AttitudeOther
Is there anything else you think we should know about the applicant or their suitability to be a part of our staff at Bongiorno? This is your chance to sing their praise or confidentially warn us about a potentially bad hire.
Digital Signature

Thank you for taking the time to fill out this reference.
By signing below I am stating that in my opinion this applicant is:*

A Must HireHighly RecommendedRecommendedRecommended with some reservationsNot recommended by me for your ministry this summer
Signature*
Please type your full name above
Should be Empty:

Confidential Reference Form

Contact Info

Information about the Applicant

Personality

Suitability for Employment

Digital Signature