Pearce Williams Summer Camp Reference Form
Our expectations of our staff members at Pearce Williams Christian Centre are very high. Our programs are intentional; we want to use every opportunity to have a positive impact on the campers we serve. Working at Pearce Williams Christian Centre requires a tremendous amount of physical activity, creative energy, emotional investment and patience.

Your honest evaluation of the applicant's character and capabilities is greatly appreciated.

Applicant's Name (First and Last) *
Your answer
Your Name (First and Last) *
Your answer
Your Email *
We will use your email to verify this reference
Your answer
Your Phone Number *
If we have further questions we want to be able to get a hold of you.
Your answer
Best time to reach you
Your answer
Are you related to the applicant? *
If you are related to this applicant, please do not submit this form. We require candidates to have references that are non-relatives.
How long have you known the applicant? *
Your answer
In what capacity do you know the applicant? *
Are you a teacher, coach, pastor, etc?
Your answer
Did the applicant inform you they were including you as a reference on their application ahead of you receiving an email from us? *
Is the applicant a former employee? *
If they were a former employee, would you rehire this applicant? *
What were the responsibilities this person had in their role with you? *
Your answer
Help us learn about the applicant. Please rate the applicant on the following attributes. Please use your experience and give an honest evaluation. *
Strongly Agree
Strongly Disagree
Not Applicable
Displays emotional maturity & stability:
Accepts guidance, supervision and feedback:
Adjusts well to new situations:
Is able to lead or follow as the occasion demands:
Demonstrates mature conduct in peer relationships:
Makes good decisions, keeps self and others safe:
Is caring, mature and responsible:
Is enthusiastic, fun and energetic:
Works effectively with others:
Shows a willingness and ability to follow direction:
Is able to teach/coach others (known or projected)
Displays a positive attitude towards work
Desires to put the needs of children ahead of their own:
Is organized, uses time wisely:
Demonstrates group management
Is socially aware, tactful and nonjudgmental:
Demonstrates consistency
Is able to guide and motivate children:
Shows respect for property and equipment:
Respects organizational policies and procedures:
Is not afraid to try new things
I would consider this person suitable to work in a setting with responsibility for children ages 5 to 14 years old: *
Would you recommend that we hire this applicant? *
If you believe we should not hire this applicant, please explain why.
Your answer
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