Reference

Reference Questionnaire

Confidential

* Indicates required field

This Reference is for: *

He or she has applied to work on staff this summer at Camp Gideon. This person has given your name as a reference who could evaluate his/her past performance as well as potential for the work he/she may do here. Please give careful consideration to the ratings below, and remember that it will be an exceptional person who ranks high in all categories. Please call (770) 974 7744, email robin@campgideon.com, or check out our web page at www.campgideon.com if you have any questions. Thank you very much for your cooperation.

Objective Rating
Please select the adjective that most accurately describes the applicant's habitual behavior

Leadership *

Cooperation with others *

Attitude *

Flexibility *

Responsibility *

Punctuality *

Emotional Maturity *

Spiritual Maturity *

Narrative Rating
Please briefly state specific instances in which you have observed the applicant's behavior as it applies to any of these items. If you have no knowledge please say so.

A. Do you think this individual would make a good camp counselor? *

Yes No

Why or why not? *

B. Would you be willing to have your child under his/her supervision for a period of weeks in a camp situation? *

Yes No

Why or why not? *

C. Describe this individual's ability to lead campers in devotionals, worship, and spiritual growth: *

D. Is this individual dependable? Can he/she be relied upon? *

E. Does this individual weaken in the absence of authority? *

F. How does this individual react in situations of stress, i.e., make decisions? *

How long have you known the applicant? *

What is your relationship to him/her? *

Have you seen him/her in a leadership role with children or teens? *

Yes No

If so, what? *

Name *

First

Last

Phone Number *

Occupation *

Email *

Please check the agreement box below and "sign" by typing your full name into the space provided. *

I have filled out this recommendation honestly and accurately, according to my personal observations of the applicant.

Electronic Signature *

Date (MM/DD/YY) *

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