CIT Reference Form Camp Y-Owasco
The person below has applied at the YMCA to be a Counselor with children in a camp setting. Please evaluate this person by answering these questions.
Name of CIT Applicant
Your answer
How Long have you known the applicant
Your answer
In what capacity have you known the applicant
Your answer
In general, how would you rate the applicant’s ability and interest to work with children?
Your answer
If you were a parent, would you be happy to have this person as your child's caregiver?
Your answer
Please select appropriate boxes to indicate the applicant’s qualities:
Communication with others
Communication with children
Initiative
Emotional maturity
Moral character
Cooperation
Adaptability
Reliability
Leadership ability
Organization
Please List your Name, Phone Number, and Email- so we can follow with you if we have any questions
Your answer
Comments about this applicant
Your answer
My Full type name below certifies that all of the above information is true and accurate in accordance with my knowledge of the applicant.
Your answer
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Thank you for taking the time to complete this form. if you have questions or concerns please contact:
Joshua Scott, Family & Camp Director
Camp Y-Owasco, 27 William ST, Auburn, NY 13021
315-253-5304 x 115. Joshua@auburnymca.net, www.y-owasco.org
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