Covenant Pines Bible Camp Summer Staff Reference Form
The emphasis of each summer staff member is ministry, whatever the position.
It is our desire to hire a staff that is trustworthy and capable of caring for and discipling our campers who are also capable of working together with a team to further God's kingdom here at Covenant Pines. Our staff exhibit Christ-like, servant hearted leadership while serving here.

It is imperative that all summer staff be positive spiritual role models for our campers (ages 7-18). Please evaluate the applicant as you have seen him/her in daily life, at work or in a church setting. Your opinions and feedback will become part of the applicant’s confidential file. A representative from Covenant Pines Bible Camp may contact you.
Your time and effort are greatly appreciated!

Applicant Name *
Your answer
Reference Name *
Your answer
How long have you known the applicant? *
Your answer
In what capacity do you know the applicant? *
Your answer
Primary Phone Number *
Your answer
Email Address *
Your answer
To your knowledge, has the applicant ever been charged with, convicted with, or pleaded guilty or nolo contendere to any crime during his or her life? *
Your answer
To your knowledge, does the applicant demonstrate a lifestyle committed to spiritual growth and moral integrity? *
Comments
Your answer
Does the applicant exhibit problems working with others or working under authority? *
Comments:
Your answer
If you had a child of camper age, would you feel comfortable leaving your child in the care of the applicant? *
Comments
Your answer
What would you consider to be the applicant's most outstanding characteristic or skill? *
Your answer
What would you consider to be one area of personal growth for this applicant? *
Your answer
Please grade the applicant to the best of your knowledge. “1” is the lowest on the scale or “never”. “10” is highest on the scale or “always”.
If you are unsure, or have no knowledge of that particular category, please leave it blank.
Positive Attitude
Christ-like Lifestyle
Motivated
Sense of Humor
Temper Control
Teachability
Emotional Maturity
Leadership Ability
Stamina
Dependability
Enthusiasm
Adaptability
Honesty
Promptness
Follows Instructions
Open-minded to Change
Gets along with others
Do you have any comments on the above categories?
Your answer
Recommendation for a position at Covenant Pines Bible Camp*: *
Final Comments
Your answer
Electronic Signature
Your answer
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Please contact Natalie Swanson with any questions or follow up.
Natalie Swanson
Program Director
natalie@covenantpines.org
(218) 768-2610
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