Camp Kirby Staff Reference Form 2018
The applicant that has requested a reference from you has applied for a position on the staff of Camp Kirby, a resident camp for youth ages 6 to 18. The applicant has given your name as one who can give us information regarding her/his qualifications, character and ability. References can be of help if they are honest and frank. If you do not feel you know this person adequately, state this and return the form. If you have any doubts, please specify them and let us measure their importance as the applicant is interviewed. References will be kept confidential. Thanks!
Email address *
Who are you filling out a reference for? *
Your answer
What is your relationship with the applicant? *
Your answer
How long have you known the applicant? *
Your answer
Are you aware of any physical or emotional problems which may affect work performance? *
Your answer
Would you have any reservations at all about entrusting the care of your children or belongings for an extended period of time with the applicant? *
Your answer
Does the applicant function independently and competently without supervision? *
Your answer
PLEASE RATE THE APPLICANT ON THE FOLLOWING QUALITIES:
Cooperation with others *
Poor
Excellent
Dependability *
Poor
Excellent
Ability to arouse enthusiasm *
Poor
Excellent
Initiative *
Poor
Excellent
Sense of responsibility *
Poor
Excellent
Acceptance of supervision *
Poor
Excellent
Judgment *
Poor
Excellent
Emotional stability *
Poor
Excellent
Commands respect from adults *
Poor
Excellent
Commands respect from youth *
Poor
Excellent
Camp staff occasionally works under conditions of long hours, sometimes with inconveniences. They must adapt to different living conditions, camp food, traditions, and often being responsible 22 hours a day. How do you feel this applicant would adapt? *
Your answer
What knowledge do you have of the applicant’s experience in childcare? *If applicant is applying for a position in the kitchen, you may instead share your knowledge of their kitchen experience. *
Your answer
What is your overall appraisal of the applicant for employment as a camp staff member for Camp Kirby? *
Your answer
Any additional information which would be pertinent to the applicant’s performance as a camp staff member?
Your answer
What is your name, phone number, and the best time to call or email? *
Your answer
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