2017 Staff/Volunteer Reference Form
You have been selected as a reference by an individual applying for employment at Portage Lake Covenant Bible Camp. It is our desire to hire a staff that is trustworthy, ethical, hardworking, fun and most importantly have a genuine love for God. Please evaluate the applicant as you have seen him/her in daily life. Your opinions and feedback will become part of the applicant’s confidential file.

If you have any questions or concerns, please contact Program Director Peter Ek or Associate Director Beth Piccard at (231)-889-5911. Learn more about Portage Lake at portagelake.org.

Email address *
1. Applicant Name *
Your answer
2. Your Name *
Your answer
3. Your Organization *
Your answer
4. Your Relation to Applicant *
Your answer
5. Your Phone Number *
Your answer
6. How long have you known the applicant and in what capacity? *
Your answer
7. How well do you know the applicant? *
8. How recent is your interaction with the applicant? *
9. Who would benefit more from the applicant's time at Portage Lake, the applicant or the campers? Why? *
Your answer
10. Would you feel comfortable leaving your own child in the care of the applicant?
11. Please select ALL qualities that describe the applicant's WORK HABITS. *
Required
12. Please select ALL qualities that describe the applicant's LEADERSHIP ABILITY AND STYLE. *
Required
13. Please select ALL qualities that describe the applicant's SOCIAL INTERACTION with peers and adults. *
Required
14. Please select ALL qualities that describe the applicant's PERSONALITY. *
Required
15. Please select ALL qualities that describe the applicant's EMOTIONAL STABILITY. *
Required
16. Please rate the applicant in the following areas, comparing the applicant to other people his or her age. *
Poor
Below Average
Average
Above Average
Good
Excellent
Not Sure
Flexibility
Judgement
Dependability
Rapport with kids
Integrity
Decision making
Health/Stamina
Team Participation
Humility
Cooperation
First impression
Creativity
Servant Heart
Spiritual Maturity
Christian Values
17. Please rate the presence of the following in the applicant. *
Often Apparent
Sometimes Apparent
Rarely Apparent
Never Apparent
Not Sure
Anxiety
Argumentativeness
Critical Attitude
Rebelliousness
Rudeness
18. List two words that best describe the applicant. *
Your answer
19. What is the greatest strength of the applicant? *
Your answer
20. What is one area you would encourage the applicant to grow in? *
Your answer
21. Is there any other information that would be helpful to Portage Lake in considering the applicant for employment? *
Your answer
22. Overall, do you recommend the applicant for a position at Portage Lake? *
Your answer
23. Thank you for sharing your input on this applicant. By typing your name below, you are verifying that the information listed previously is true to the best of your knowledge. *
Your answer
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