Seasonal Employment Reference
The Mission of Camp Susan Curtis is to ensure that economically disadvantaged Maine youth develop the individual character, self-confidence, and skills essential to becoming independent, contributing citizens.
Name of Staff Candidate that you are completing reference for
Please complete the following information about yourself. Written References may be followed by a phone call.
YOUR Name (First, Last)
Current Position/Job Title & Organization/Agency/School/Company
STAFF CANDIDATE REFERENCE
Staff members live, work, teach, and play with economically disadvantaged Maine youth in 3rd-12th grade; 24 hours/day for 8 weeks with specific rules/guidelines and limited privacy or time off. The work is both challenging and rewarding. Please keep in mind the personality, character, and work ethic of the staff candidate while completing this form. Any questions can be directed to Terri Mulks at 207-774-1552 or
. THANK YOU!
In what capacity have you known this individual?
School Staff Member
How long have you known this individual?
Please briefly detail why you think this individual would make a positive impact on economically disadvantaged youth.
Please check any of the following that describe this individual based on your interactions/observations.
Motivated To Achieve
Able to persevere through challenges
Able to respond appropriately to stressful situations
Able to work within a set of rules/guidelines
Able to articulate challenges/ask for assistance as needed
Respectful of supervision and guidance
Willing to share ideas and take initiative
Good sense of humor
If applicable, is this individual eligible for rehire in your organization?
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service