LYLE III Reference Form
The person named below is considering participating in the Lutheran Youth Leadership Experience which is a leadership development program that combines leadership skills, service, and each young person’s individual God-given gifts and interests. This program provides intensive and challenging hands-on leadership experiences through participation in the camp community and experiential learning sessions. This program is designed for youth that have committed themselves to participation in their home communities and congregations, as well as those interested in future leadership in camping or other ministry settings.

Your name has been given as a reference for this applicant. We appreciate your time and consideration in completing this form. All responses will be kept confidential.

Application deadline is MARCH 1, 2018.

Name of Applicant
Your answer
Reference Information
Name *
Your answer
Your answer
Relationship to Applicant *
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Address *
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City *
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State *
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Zip Code *
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Phone Number *
(xxx) xxx-xxxx
Your answer
Please Rate the Applicant on the Following:
Reliability *
Honesty *
Hard Worker *
"Team" Player *
Emotional Stability *
Flexibility *
Expression of Faith *
Communication Skills *
Ability to Work with Children *
Ability to Work under Stress *
Follows Rules *
Overall Attitude/Enthusiasm *
How well and in what capacity do you know the applicant? *
Your answer
Please comment on the applicant’s ability to work well with others. *
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Please comment on the applicant’s self-initiative and creativity. *
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Please comment on the applicant’s level of maturity and responsibility. *
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Please comment on the applicant as a person of Christian faith. *
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Is there any reason you know of why this person should not be involved in such a program and around young children? *
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If you feel there is any additional information that would be helpful, please call Jay Miller at (830) 257-6340
Electronic Signature
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