Prairie Camp Counselor Reference Form
This applicant is applying for:
SUMMER CAMP FOR KIDS
TEEN CAMP
Applicant's Name
Your Name
Your email address (will only be used if we have further questions)
How long have you known the applicant?
What words best describe the applicant?
Please rate the applicant in the following six areas:
Leadership
Choose one:
Unknown
Below Average
Average
Above Average
Excellent
Self-Confidence
Choose one:
Unknown
Below Average
Average
Above Average
Excellent
Moral Integrity
Choose one:
Unknown
Below Average
Average
Above Average
Excellent
Motivation / Initiative
Choose one:
Unknown
Below Average
Average
Above Average
Excellent
Emotional Maturity
Choose one:
Unknown
Below Average
Average
Above Average
Excellent
Commitment to Christ
Choose one:
Unknown
Below Average
Average
Above Average
Excellent
If you are aware of anything in this applicant's background, personality, or behavior, that could in any way pose a threat to children, please explain:
Any further comments you would like to include about this applicant?
My recommendation regarding the hiring of this applicant:
DO NOT HIRE (comment above)
HIRE WITH RESERVATION (comment above)
YES! HIRE! WOULD MAKE A GREAT COUNSELOR FOR KIDS / TEENS
SUBMIT
Thank you for taking the time to evaluate this applicant!