Boys Camp Service Crew Reference Questionaire

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Camp Hickory Hill
2970 Kohler Rd
Varysburg, NY 14167

Applicant Last Name *

Applicant First Name *

Reference Information

The person whose name you filled in above is applying for a Service Crew position on the staff of Camp Hickory Hill.
This year’s Service Crew will serve around camp for one week and enjoy being a camper for the other week. The week that they are Service Crew they will spend their time filling water balloons, mopping, taking out trash, or other helpful tasks. They will be a tremendous help and gain valuable experience. During the week they are a camper, they will enjoy the regular camping experience. This position allows a boy the opportunity to work along side the Camp Hickory Hill Staff and to show them that he should could be a counselor in another year.

How long have you known the applicant? *

What is your relationship to him? *

Please comment on each of these general characteristics:

Is he a leader? *

Is he responsible? *

How well does he work with others? *

Is he spiritually mature? *

How well does he control her emotions? *

Personal appearance and grooming? *

Would you want your own child under his guidance and leadership? *

Do you recommend him for this position without any reservations? *

If not, what are your reservations and recommendations?

Is there any other information which will aid us?

Contact Information

Please give us a way to contact you if we have questions.

Your Name: *

Street Address: *

City, State, Zip *

Phone: *

Thank you so much for taking the time to fill out this form.

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