Camp Koinonia Teen Staff Reference Form
A teenager you know has listed you as a reference to been a “Teen Staff” at Camp Koinonia. The teenager will be responsible for helping out a family, including the parents and children, for a week at a Catholic Family Camp. They will share a cabin with other teenagers, and they will report to and work at the direction of adult volunteers running the camp. The teenager is expected to be independent, responsible and helpful throughout the week. The teenager is also expected to behave in an exemplary way for others at the camp, especially for the younger children in attendance. With that in mind, please complete the following questions.
Email address *
What is your full name? *
Your answer
What is your title/position/occupation? *
Your answer
What is the name of the teenager who listed you as a reference? *
Your answer
How do you know the teenager? *
Your answer
How long have you known the teenager? *
Your answer
Does the teenager get along with adults? *
Does the teenager get along with peers? *
Does the teenager get along with children? *
Does the teenager have experience caring for younger children? *
Would you describe the teenager as responsible? *
Would you describe the teenager as a good role model for others? *
Would you put the care and well-being of your own family members in the hands of the teenager? *
Do you recommend that the teenager be a Teen Staff? *
Is there anything else you would like us to know in considering the teenager’s application? *
Your answer
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