GHLC Staff Reference Form
Reference's Name
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First Name
Last Name
Name of Applicant
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Reference E-mail
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Reference's Phone
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-
Area Code
Phone Number
How well do you know the applicant, and in what capacity?
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Does the applicant give a definite witness to Christian conversion?
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What has been the applicant's record as a student / church member / employee?
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If you had a child at camp, would you wish the applicant to work with them?
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Please rate the applicant in the following areas:
Please make a selection from "Poor" to "Exceptional". Examples of what each rating could mean, however do not feel limited by the examples given. If N/A is chosen, please note at the end why you selected that.
Physical Condition
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Please Select
Exceptional - Rugged and Vigorous
Above Average - Resilient
Average - Healthy
Below Average - Lacking stamina
Poor - Unhealthy, serious concern
Not Observed
See Note Below
Intelligence
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Please Select
Exceptional - Brilliant, Gifted
Above Average - Bright, Clever
Average - Good learner and thinker
Below Average - Easily confused
Poor - Struggles with basic concepts and instructions
Not Observed
See Note Below
Teachability
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Please Select
Exceptional - Outstanding among peers
Above Average - Quick to learn
Average - Listens well
Below Average - Poor listener
Poor - Unwilling to learn, stubborn
Not Observed
See Note Below
Initiative
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Please Select
Exceptional - Anticipates Needs
Above Average - Self-starter
Average - Quick to join in
Below Average - Reluctant but willing
Poor - Unwilling or unable
Not Observed
See Note Below
Attitude toward fellow employees
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Please Select
Exceptional - Brings out the best in a team
Above Average - Works well in a group
Average - Cooperative and helpful
Below Average - Uncomfortably shy
Poor - History of anger or poor social skills
Not Observed
See Note Below
Leadership
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Please Select
Exceptional - Naturally gifted leader, Inspirational
Above Average - Encouragement to others for success
Average - Developing leadership skills, clear potential
Below Average - Insecure, tendency to blame others
Poor - Group experience suffer with applicant's presence
Not Observed
See Note Below
Willingness To Serve
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Please Select
Exceptional - Devoted to serving others
Above Average - "Happy to help"
Average - Willing when asked
Below Average - Helps out of necessity
Poor - Inconvenienced by others
Not Observed
See Note Below
Attitude Towards Work
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Please Select
Exceptional - Uniquely Enthusiastic
Above Average - Keen and eager
Average - Good work ethic, sees work through
Below Average - Doesn't complete work
Poor - Won't start, resents effort
Not Observed
See Note Below
Emotional Stability
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Please Select
Exceptional - Calming presence in face of difficulty
Above Average - Maintains balance
Average - Keeps calm within limits
Below Average - Struggles with balance at times
Poor - Unpredictable or unreliable
Not Observed
See Note Below
Religious Experience
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Please Select
Exceptional - Uniquely keen to Christian Faith
Above Average - Rich, Growing
Average - Genuine
Below Average - Fickle but Growing
Poor - No evidence of positive faith experience
Not Observed
See Note Below
If there are any points above you would like to elaborate on, please feel free to do so here:
Does the applicant display any of the following tendencies?
Applicant seems free of all such tendencies
Needs excessive "time off"
Insubordinate
Quick-tempered
Requires close supervision
Difficulty communicating
Lazy
Overly-emotional
Poor listener
Dislikes children
Dishonest
Impulsive
Stubborn
Judgemental, harsh
Racist tendencies
Poor Hygiene
Other
Do you recommend the applicant?
*
Please Select
Yes, I recommend the applicant, without reservation.
Yes, I recommend the applicant, with reservations.
No, I do not recommend the applicant.
Please contact me.
I do not feel qualified to make a recommendation.
Any additional comments?
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