Canyonview Ministries Reference Form

RECOMMENDATIONS FOR STAFF - CANYONVIEW MINISTRIES

Please take a moment to complete the information below. An email PDF will be sent to Canyonview's Personnel Office when you click "submit" at the bottom of this form.
If you have any questions or concerns, please call our office at 971-239-1347 or email us at info@canyonview.us
Your Name (Person filling out the form)

First NameLast Name
Which category of reference are you for the applicant?*

FriendChristian WorkerEmployer/Teacher
Their Name (Person who is applying to work at Canyonview)*

First NameLast Name
The above named person is applying for staff at Canyonview Camp.

The early return of this form will be appreciated as it will expedite the processing of this candidate's application. Any information, which you give us, will be regarded as strictly confidential. This form will be sent directly to Canyonview Camp.
1. How long have you known the applicant?*
In what capacity?*
2. Is the applicant a christian?*
3. Please list one strength and one area of improvement of the applicant.
3a. Area of Strength*
3b. Area of Improvement*
4. Are you recommending the applicant because of what they can contribute to our camping program, or because of what we can do for him/her, or both?*

What they can contributeWhat we can do for him/herBoth

5. Please check one of the following blanks that best describes the applicant. Your comments are very valuable to us. The applicant is:*

	Generally	Sometimes	Not Often	Not Observed
Able to follow instructions
Loyal
Outgoing and friendly
An able leader of others
Consistent in christian testimony
Disciplined in personal habits
Enthusiastic
Able to adjust to different situations
Able to cope with other's problems
Easily offended
Inclined to criticize others
Moody
Talkative
Able to work in a team situation

Comments about any of the above attributes

6. Please grade the applicant 1, 2, 3, or 4 on the following characteristics and traits: Superior; Above average; Average; Weak in that area. Please evaluate the applicant in relationship to his/her own age group.*

	1 Superior	2 Above Average	3 Average	4 Weak	Not Observed
Personal appearance
Courtesy
Honesty and personal integrity
Physical condition
Willingness
Dependability
Punctuality
Judgment
Initial impression
Ability to make friends
Proper attitude toward opposite sex
Sense of humor
Proper attitude toward authority
Initiative
Attitude toward hard work

Introvert/Extrovert*

	1	2	3	4	5

1 is Introvert, 5 is Extrovert

Comments about any of the above characteristics
7. There is a possibility that the applicant would be employed as a camp counselor; Would you be willing to leave your child or teenager in the care of this person for a week?*

YesNo
8. To your knowledge has this person ever been charged with or convicted of any criminal offense? If yes, give the state or county where offense occurred (if known).*
Additional Comments:
Information about you!
Your Name*

First NameLast Name
Your Position
Your Organization
Current E-mail Address:*
Best Phone Number:*
Alternate Phone Number
Please check your choice of recommendation:*

I strongly recommendI recommendI recommend with some reservationI do not recommend
Today's Date*

MonthDayYear
JUST A FEW MORE THINGS...
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RECOMMENDATIONS FOR STAFF - CANYONVIEW MINISTRIES

Information about you!

JUST A FEW MORE THINGS...