Flathead Lutheran Bible Camp Reference Questionnaire
Thank you for serving as a reference for a potential member of our 2018 Summer Staff. This reference will be confidential and will not be shared with the applicant. Please contact us directly at
or call 406-890-0662 if you prefer to give a verbal recommendation.
The person requesting this reference has applied to serve on the summer staff at Flathead Lutheran Bible Camp. As we will be serving over 3,500 campers and retreat participants this summer, we need your help in evaluating this person’s potential in working with children and adults in our ministry. Your sincere and candid response regarding this applicant’s character and ability is appreciated.
How long and in what capacity (supervisor, mentor, pastor, etc?) have you known this candidate?
For each of the following questions, please check the phrase that most accurately describes the applicant’s behavior.
How well is he/she able to direct and influence others along definite lines of action?
Exceptional leader; inspires others along desired lines of action
Very successful in leading others
Normally successful in directing and leading others
Usually follows the lead of others
Poor leader; incapable of directing others
How well does he/she work with associates for the good of the group?
Exceptionally successful in working with others and inspiring confidence
Cooperates willingly and actively; ensures things go smoothly
Cooperates but not whole-heartily, does only what is required
Gives limited cooperation; neglects the common good for his/her own interests
Cooperates grudgingly; makes trouble and obstructs the group’s efforts
How does he/she react to suggestions or criticisms by others?
Invites criticisms and suggestions; always wanting to improve
Follows suggestions willingly; open to improvement
Listens to suggestions but often acts without considering them
Resents suggestions or alternative ideas
Takes suggestions and criticisms as a personal insult
How well does this person follow through on tasks and assignments?
Exceptional perseverance; does more than expected
Energetic; industrious; dependable at all times
Satisfactorily completes assigned tasks on his/her own accord
Indifferent unless deeply interested; may not finish tasks
Needs constant prodding and supervision to complete work
Please comment briefly on the following items, giving specific examples when you have had firsthand experience. If you have no knowledge, please state so.
Starting with the most important, please comment to the top 3 ways in which this individual could improve his/her work performance.
Starting with the most important, please comment on the top 3 work related strengths of this individual.
Please comment on this person’s ability to lead campers toward a growing Christian faith: i.e. leading devotions, worship, and influencing young lives in a Christian way.
Would you recommend that this person be responsible for the care and supervision of children for a lengthy period of time?
Never submit passwords through Google Forms.
This form was created inside of Flathead Lutheran Bible Camp.
Terms of Service