Thank you for taking the time to complete this reference form. For the safety and fun of our campers, our summer staff are our most important assets and we rely on people like you to help us pick the best candidates.

Please answer all of the questions honestly and to the best of your ability. If you have multiple staff to recommend please finish this form and then return to this page.

Applicant Information

Applicant First Name *

Applicant Last Name *

Your Information

Reference First Name *

Reference Last Name *

Reference Email Address *

Reference Phone Number *

Questions

How long have you known the applicant? *

In what capacity? *

How would you rate the applicant's level of initiative and resourcefulness? *

Above satisfactory

Satisfactory

Below satisfactory

What are the applicant’s strengths? *

What are the applicant’s weaknesses? *

How would you rate the applicant's ability to use good judgement in normal conditions? *

Above satisfactory

Satisfactory

Below satisfactory

How would you rate the applicant's ability to use good judgement in stressful conditions? *

Above satisfactory

Satisfactory

Below satisfactory

How would you rate the applicant's ability to learn new information and skills? *

Above satisfactory

Satisfactory

Below satisfactory

We are looking for someone who will adhere to the standard policies of our organization. How would you rate the applicant's ability to follow policies and procedures? *

Above satisfactory

Satisfactory

Below satisfactory

How would you rate the applicant's communication skills, both oral and written? *

Above satisfactory

Satisfactory

Below satisfactory

The applicant would be working and living with children ages 7 -17 in a camp style setting. Do you believe the applicant is a good fit for our organization? *

Yes

No

If no, why not? *

How would you rate the applicant's ability to relate to children? *

Above satisfactory

Satisfactory

Below satisfactory

N/A

Can you give me an example of how the applicant relates to children? *

Above satisfactory

Satisfactory

Below satisfactory

N/A

Have you ever known the applicant to use harsh or abusive discipline with a child? *

Yes

No

N/A

Would you be comfortable placing one of your own children in the care of the applicant? *

Yes

No

N/A

Why or why not?

Please comment on the applicant's personality. *

If this applicant worked for you, would you rehire them? *

Yes

No

How would you rate the applicant's spiritual commitment and influence? *

Above satisfactory

Satisfactory

Below satisfactory

If you are recommending this applicant, you are doing so... *

Because of what they can contribute to High Peak Camp.	Because of what High Peak Camp can do for them.
Both.	I am not recommending this applicant.