Reference Form

NC WEST KIDS' CAMP WORKER REFERENCE FORM

Deadline for reference forms: June 28, 2026
Name of Kids' Camp Applicant*

First NameLast Name
Kids' Camp Applicant's Email Address*
Reference Contact Information
Name of Person Completing this Reference Form*

First NameLast Name
Which way is best for us to contact you to verify this reference?*
Your Email
Your Phone Number
Format: (000) 000-0000.
What is your relationship to the applicant?*
Please Tell Us About The Kids' Camp Applicant
Please complete the following information about the applicant on a scale of 1-5.

1= BELOW average 3=AVERAGE 5=ABOVE average
Has a positive attitude and spirit*
Is a good example for children*
Works well with others*
Works well under supervision*
Loves children*
Is faithful to the local church*
Is a growing Christian*
Would be a good representative of Christ and the Wesleyan Church*
YesNo
Please share anything else you think might be helpful for us to know about this person in our choosing of staff for Kids Camp.
By clicking "SUBMIT" below you are authorizing the information you've given in this reference form to be true to the best of your knowledge.
If you have concerns about this applicant being a worker at Kids' Camp, please contact Elizabeth Cohen (Kids' Camp Director) at ebethanne21@gmail.com
Should be Empty:

Reference Contact Information