The Pines Missionary Staff Reference Form
The person you name below has applied to be on Missionary Staff at The Pines Catholic Camp. We appreciate your willingness to give us an honest and frank appraisal of the applicant's suitability for camp. It is essential that counselors are positive role models, have integrity, enjoy working with children, can collaborate with other adults, can live in community with others, are flexible, eager learners and live a Christian life. Thank you for your help in this process. Your recommendation will be held confidential by The Pines Catholic Camp.
Applicant Name *
Your answer
Your Name *
Your answer
Phone Number *
Your answer
Email Address *
Your answer
How long have you known the applicant? And in what capacity? *
Your answer
How would you assess this person's ability to perform under stressful conditions (i.e. long hours, elevated noise levels, outdoor setting, etc.)?
Your answer
What one thing about this person's experience, skills, or work style would you change?
Your answer
What is it about this person's experience, skills, or work style that impresses you most?
Your answer
Are you aware of any reasons this person should NOT work with youth ages 7-17? Please explain:
Your answer
Does the applicant ever exhibit signs of chemical or any other dependency? If yes, please explain:
Your answer
Please rate the applicant in the following areas: *
Great
Good
Fair
Poor
N/A
Maturity
Relationship with Peers
Relationship with Children
Relationship with Supervisor
Striving for Holiness
Relationship with Catholic Church
Communication Skills
Teamwork
Accepting Feedback
Humility
Coping with Stress
Integrity
Assertiveness
Former employee?
Type of Employment
Your answer
Dates of Employment
Your answer
Position(s) Held
Your answer
Reason(s) for Leaving
Your answer
Would you rehire this person?
Do you have any prayer requests?
Your answer
Additional Comments
Your answer
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