Pastoral Reference
Counselor and Staff References for Camp Shioh
Email address *
Applicant name *
Your answer
Applicant Home Church *
Your answer
Your Name *
Your answer
Camp *
How long have you known the applicant (Years)? *
In your judgement does the applicant possess a vibrant relationship with the Lord? *
Do they have a clear understanding of the scripture and are able to discuss biblical things? *
Explain their character in a few words *
Your answer
What are some strengths of the applicant? *
Your answer
What are some weaknesses of the applicant? *
Your answer
How well do they work with others? *
Your answer
How flexible are they? *
Your answer
How do they respond to correction and instruction? *
Your answer
Why do you recommend the applicant to serve at Camp Shiloh? *
Your answer
Has the applicant struggled with anything specific in the past year? (health, emotion, substance abuse?) *
Does the applicant have any health restrictions that would limit them during a physically demanding week of summer camp? *
Would you allow the applicant to lead a group of young people in your church? Why or why not? *
Your answer
If your kid or a kid from your church was in their cabin, would you be OK with it? *
Your Name *
Your answer
Church Name *
Your answer
Today's Date *
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Your Phone Number *
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