Camp Kesher Staff Reference Form
This individual is applying for a staff position with Camp Kesher, a Messianic Jewish camp for children ages 8-16. Your input will assist us in carefully considering this applicant’s qualifications for participating in a camp ministry environment. We urge you to be completely frank and candid in your answers. Your response will, of course, be held in the strictest confidence. Feel free to offer pertinent facts and personal opinions not covered by the questions, and to exceed space limitations whenever you deem necessary.

Thank you for taking a few minutes to help us get to know this person better.

Name of Camp Kesher Staff applicant: *
Full Name Please
Your answer
Your Name *
Full Name Please
Your answer
Phone Numer *
123-456-7890
Your answer
Address *
Address, City, State, Zip
Your answer
Email Address *
For Contact Purposes, if needed
Your answer
What is your relationship with the applicant? *
(Ex. Congregant, Nephew, Leader)
Your answer
How long have you known the applicant? *
(Ex. 6 Years)
Your answer
What is your assessment of the applicant in various areas (please specify one number for each question): *
Knowledge of the Bible
Don't Know
Excellent
What is your assessment of the applicant in various areas (please specify one number for each question): *
Burden for the lost
Don't Know
Excellent
What is your assessment of the applicant in various areas (please specify one number for each question): *
Burden for Jewish People
Don't Know
Excellent
What is your assessment of the applicant in various areas (please specify one number for each question): *
Teachability
Don't Know
Excellent
What is your assessment of the applicant in various areas (please specify one number for each question): *
Willingness to serve
Don't Know
Excellent
What is your assessment of the applicant in various areas (please specify one number for each question): *
Leadership ability
Don't Know
Excellent
What is your assessment of the applicant in various areas (please specify one number for each question): *
Following instructions
Don't Know
Excellent
What is your assessment of the applicant in various areas (please specify one number for each question): *
Relating to others
Don't Know
Excellent
What is your assessment of the applicant in various areas (please specify one number for each question): *
Flexibility
Don't Know
Excellent
What is your assessment of the applicant in various areas (please specify one number for each question): *
Adjusting to group dynamics
Don't Know
Excellent
What is your assessment of the applicant in various areas (please specify one number for each question): *
Ability to communicate
Don't Know
Excellent
What is your assessment of the applicant in various areas (please specify one number for each question): *
General appearance
Don't Know
Excellent
What is your assessment of the applicant in various areas (please specify one number for each question): *
General stamina
Don't Know
Excellent
What is your assessment of the applicant in various areas (please specify one number for each question): *
Emotional maturity
Don't Know
Excellent
What is your assessment of the applicant in various areas (please specify one number for each question): *
Cheerfulness
Don't Know
Excellent
What is your assessment of the applicant in various areas (please specify one number for each question): *
Patience
Don't Know
Excellent
What is your assessment of the applicant in various areas (please specify one number for each question): *
Dependability
Don't Know
Excellent
Are there any reasons why you would NOT want to serve alongside this person in a camp environment (such as something in his/her background, character or personality that, in your opinion, would hinder his/her service with children or staff)? *
Your answer
What else do you want us to know about this applicant? *
Your answer
Your Name *
As Form Sign Off
Your answer
Date *
As Form Sign Off
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