Camp Wieuca Reference Form
Camp Wieuca is a ministry of Church at Wieuca
Staff are involved in the care of children aged 6-13. The qualifications for this position include a commitment to the Christian faith, a love of children, good judgment, leadership skills, high energy level, and the ability to work well with others and follow directions. Your evaluation of this applicant's character and abilities will be very helpful in the application process. Please express yourself honestly on this form. If you feel the need to discuss this applicant in a more confidential way, please contact our director, Joel Mills, at JMills@wieuca.org or 404-814-4467.
Name of Applicant
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First Name
Last Name
Your Name
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First Name
Last Name
In what capacity and for how long have you known the applicant?
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Please rate the applicant in the following categories
Initiative
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Poor
Okay
Average
Good
Outstanding
Reliability
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Poor
Okay
Average
Good
Outstanding
Punctuality
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Poor
Okay
Average
Good
Outstanding
Trustworthiness
*
Poor
Okay
Average
Good
Outstanding
Creativity
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Poor
Okay
Average
Good
Outstanding
Enthusiasm
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Poor
Okay
Average
Good
Outstanding
Communication Skills
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Poor
Okay
Average
Good
Outstanding
Flexibility
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Poor
Okay
Average
Good
Outstanding
Teamwork
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Poor
Okay
Average
Good
Outstanding
Follows Instructions
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Poor
Okay
Average
Good
Outstanding
Handles Criticism
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Poor
Okay
Average
Good
Outstanding
Problem Solving Skills
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Poor
Okay
Average
Good
Outstanding
Leadership Skills
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Poor
Okay
Average
Good
Outstanding
Judgment
*
Poor
Okay
Average
Good
Outstanding
Self Awareness
*
Poor
Okay
Average
Good
Outstanding
Emotional Maturity
*
Poor
Okay
Average
Good
Outstanding
Spiritual Maturity
*
Poor
Okay
Average
Good
Outstanding
How well does this applicant get along with other people?
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Describe the applicant's temperament and character:
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Do you have any reservations regarding the applicant's suitability for working at a Christian camp to provide supervision and positive experiences for children ages 6-13 years old?
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Signature
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Date
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Month
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Day
Year
Date
Your Printed Name
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Your Title
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Phone number we can contact you on for more information if needed:
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Please enter a valid phone number.
What are your preferred times for a phone call?
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Please enter a valid phone number.
Thank you!
Submit
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