2026 Summer Camp Mature Christian Reference 📋✨
Complete this confidential reference to support a camp leader applicant, ensuring honest feedback from a mature Christian familiar with the candidate. Please keep in mind this person will be serving at a West Florida Ministry Network event and will be overseeing minors. Your frankness will be appreciated. Please know this form comes directly to the West Florida Ministry Network office and not back to the individual which you are giving a reference for.
Personal Information
Note: This reference cannot be completed by a family member.
Name of leader requesting your reference
*
Name of person giving reference
*
Are you related to the applicant?
*
Yes
No
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Applicant Relationship and Character Evaluation
How long have you known the applicant?
*
How well do you know the applicant?
*
Very Well
Well
Average
Not Very Well
Do you believe the applicant is a committed Christian?
*
Yes
No
Unsure
To what extent is the applicant involved in church?
*
What special talents has he/she shown?
*
What leadership abilities has he/she shown?
*
To your knowledge, has the applicant participated in the use of intoxicants, tobacco, vaping, or illegal drugs?
*
Yes
No
If yes, please explain.
Do you know of any reason why the applicant would not be suitable as a leader for any of our camp events?
*
Yes
No
If yes, please explain.
To your knowledge, has the applicant ever displayed inappropriate behavior toward a minor?
*
Yes
No
If yes, please explain.
Knowing the applicant as you do, what recommendation would you make?
*
Highly Recommend
Recommend
Recommend with Reservation
Do Not Recommend
Applicant Rating Grid
Christian Life
*
Excellent
Good
Fair
Poor
Unknown
Social Adaptability
*
Excellent
Good
Fair
Poor
Unknown
Leadership
*
Excellent
Good
Fair
Poor
Unknown
Cooperation
*
Excellent
Good
Fair
Poor
Unknown
Teachable
*
Excellent
Good
Fair
Poor
Unknown
Motivation
*
Excellent
Good
Fair
Poor
Unknown
Emotional Stability
*
Excellent
Good
Fair
Poor
Unknown
Personal Appearance
*
Excellent
Good
Fair
Poor
Unknown
Health
*
Excellent
Good
Fair
Poor
Unknown
Attitude Toward Authority
*
Excellent
Good
Fair
Poor
Unknown
Additional Comments and Agreement
Other: Anything else you feel we need to know about this applicant?
Final Response
*
I am personally acquainted with the applicant and, in my opinion, he/she is competent and qualified to work with minors of any age.
I prefer to discuss my response by telephone. I can be reached at the telephone number provided in my personal information.
By checking I Agree, you are assuring that the opinion you presented above is true and accurate to the best of your knowledge and that you are who you say you are.
I Agree
*
I Agree
Submit
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