Cross Roads Staff Reference Form
Thank you for serving as a reference for a potential member of the staff of Cross Roads Camp and Retreat Center! Working at Cross Roads requires close interaction with children and youth, as well as the ability to communicate maturely and responsibly with adults and staff in a variety of situations. Your honest evaluation is important and very much appreciated.

If you have any questions while completing this form, please contact Program Director Kathryn Schaefer at Kathryn@CrossRoadsRetreat.com or at (908) 832-7264.

ABOUT CROSS ROADS

Cross Roads is a welcoming, ecumenical retreat center and camp of the Episcopal Diocese of Newark and the New Jersey Synod of the ELCA. We are accredited by the American Camp Association. Learn more about our summer and year-round programs at www.crossroadsretreat.com. And be sure to follow us on Facebook (Cross Roads Camp and Retreat Center) and Instagram (@crossroads.camp).
Name of applicant *
Your answer
Ability to be a spiritual role model *
Required
Ability to relate to children *
Required
Ability to relate to peers *
Required
Ability to relate to supervisors *
Required
Ability to assume leadership roles *
Required
Ability to assume responsibility *
Required
Ability to work under stress *
Required
Ability to hold to a schedule *
Required
Ability to function as part of a team / community *
Required
Ability to be flexible *
Required
General character *
Required
Dependability *
Required
How long have you known the applicant, and in what capacity *
Your answer
Would you have any reservations about your child being in the care of this person? If yes, please explain.
Your answer
Would you recommend this person to serve in a staff position at a church camp? Please explain.
Your answer
To your knowledge, has the applicant ever been accused of child or sexual abuse? *
Your answer
Please make any additional comments that may be helpful in our hiring process.
Your answer
Next
Never submit passwords through Google Forms.
This form was created inside of Cross Roads Camp and Retreat Center. Report Abuse