TTT Staff Reference Form
This form is to be completed by a reference for an individual applying for a TTT staff position at Camp Wyoming, a year round retreat center and summer camp located in Jones County, Iowa. Camp Wyoming would greatly appreciate your honest and candid feedback of this individual as they will be directly responsible for the day-to-day care of children and youth. The information in this form will remain completely confidential. The candidate cannot continue in the hiring process until this reference form is received, and due to the nature of the work, relatives and peers are disqualified from serving as references.

Please answer each of the questions below to the best of your ability. If you have an questions, please do not hesitate to call the camp office at (563) 488-3893 or email stacie@campwyoming.net. Thank you for taking the time to complete this reference and in doing so, supporting the success of Camp Wyoming.

Name of the applicant for whom you are supplying a reference
Your answer
Date
Your answer
Your name
Your answer
Phone number (in case we have further questions)
Your answer
Your job title/company
Your answer
Email address
Your answer
Please describe the capacity in which you have known the applicant and for how long.
Your answer
Have you observed the applicant with children or youth?
If yes, in what context?
Your answer
If the applicant has worked for you in the past, would you rehire him/her?
Why or why not?
Your answer
Describe the applicant’s personality (i.e. enthusiasm, poise, tact, etc.) in light of our organizational emphasis on developing caring relationships with campers.
Your answer
Has any information ever come to your attention from any source suggesting that the applicant might have ever physically, sexually, or emotionally abused any child or youth?
If yes, please provide a detailed description
Your answer
Please rate the applicant in each of the categories below.
General Behavior
Enthusiasm
Teamwork
Creativity and Imagination
Cleanliness/Personal Hygiene
Dependability
Conflict Management
Moral Standards
Communication Skills
Personal Motivation
Ability to Receive Personal Feedback
Self Confidence
Responsibility
Emotional Stability
Stress Management
Social Skills
Please feel free to share any other information you believe would be relevant or helpful to the hiring process.
Your answer
Please indicate which statement you feel accurately reflects your recommendation of the individual.
Buy submitting this form, you attest that you have answered the above questions as accurately as possible based upon your personal experience with the applicant. Furthermore, you attest that you are not related to the applicant in any way and have no personal stake in whether the applicant is accepted or not.
Type your name below to indicate your agreement to the statement above
Your answer
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