Summer Staff Reference Form

Please fill in a valid value for all required fields

Please ensure all values are in a proper format.

Are you sure you want to leave this form and resume later?

Are you sure you want to leave this form and resume later? If so, please enter a password below to securely save your form.

You must upload one of the following file types for the selected field:

There was an error displaying the form. Please copy and paste the embed code again.

There was an error initializing the payment processor on this form. Please contact the form owner to correct this issue.

Applicant's Name*

First Name

Last Name

How long have you known the applicant?*

What is your relationship to the applicant?*

Work Ethic

Please rate the applicant in the following areas:*

Please rate the applicant in the following areas:
	Unsure	1 - Poor	2 - Fair	3 - Average	4 - Good	5 - Superior
Character	Please rate the applicant in the following areas:: Character (Unsure)	Character (1 - Poor)	Character (2 - Fair)	Character (3 - Average)	Character (4 - Good)	Character (5 - Superior)
Initiative	Initiative (Unsure)	Initiative (1 - Poor)	Initiative (2 - Fair)	Initiative (3 - Average)	Initiative (4 - Good)	Initiative (5 - Superior)
Promptness	Promptness (Unsure)	Promptness (1 - Poor)	Promptness (2 - Fair)	Promptness (3 - Average)	Promptness (4 - Good)	Promptness (5 - Superior)
Completes Tasks	Completes Tasks (Unsure)	Completes Tasks (1 - Poor)	Completes Tasks (2 - Fair)	Completes Tasks (3 - Average)	Completes Tasks (4 - Good)	Completes Tasks (5 - Superior)

Comments supporting your rating:

Authority

Please rate the applicant in the following areas:*

Please rate the applicant in the following areas:
	Unsure	1 - Poor	2 - Fair	3 - Average	4 - Good	5 - Superior
Attitude Toward Authority	Please rate the applicant in the following areas:: Attitude Toward Authority (Unsure)	Attitude Toward Authority (1 - Poor)	Attitude Toward Authority (2 - Fair)	Attitude Toward Authority (3 - Average)	Attitude Toward Authority (4 - Good)	Attitude Toward Authority (5 - Superior)
Response to Correction	Response to Correction (Unsure)	Response to Correction (1 - Poor)	Response to Correction (2 - Fair)	Response to Correction (3 - Average)	Response to Correction (4 - Good)	Response to Correction (5 - Superior)
Teachable	Teachable (Unsure)	Teachable (1 - Poor)	Teachable (2 - Fair)	Teachable (3 - Average)	Teachable (4 - Good)	Teachable (5 - Superior)
Refrains From Complaining	Refrains From Complaining (Unsure)	Refrains From Complaining (1 - Poor)	Refrains From Complaining (2 - Fair)	Refrains From Complaining (3 - Average)	Refrains From Complaining (4 - Good)	Refrains From Complaining (5 - Superior)

Comments supporting your rating:

People Skills

Please rate the applicant in the following areas:*

Please rate the applicant in the following areas:
	Unsure	1 - Poor	2 - Fair	3 - Average	4 - Good	5 - Superior
Relationship With Co-workers	Please rate the applicant in the following areas:: Relationship With Co-workers (Unsure)	Relationship With Co-workers (1 - Poor)	Relationship With Co-workers (2 - Fair)	Relationship With Co-workers (3 - Average)	Relationship With Co-workers (4 - Good)	Relationship With Co-workers (5 - Superior)
Social Skills	Social Skills (Unsure)	Social Skills (1 - Poor)	Social Skills (2 - Fair)	Social Skills (3 - Average)	Social Skills (4 - Good)	Social Skills (5 - Superior)
Tact	Tact (Unsure)	Tact (1 - Poor)	Tact (2 - Fair)	Tact (3 - Average)	Tact (4 - Good)	Tact (5 - Superior)
Outgoing and Energetic	Outgoing and Energetic (Unsure)	Outgoing and Energetic (1 - Poor)	Outgoing and Energetic (2 - Fair)	Outgoing and Energetic (3 - Average)	Outgoing and Energetic (4 - Good)	Outgoing and Energetic (5 - Superior)

Comments supporting your rating:

Spiritual Life

Please rate the applicant in the following areas:*

Please rate the applicant in the following areas:
	Unsure	1 - Poor	2 - Fair	3 - Average	4 - Good	5 - Superior
Spiritual Maturity	Please rate the applicant in the following areas:: Spiritual Maturity (Unsure)	Spiritual Maturity (1 - Poor)	Spiritual Maturity (2 - Fair)	Spiritual Maturity (3 - Average)	Spiritual Maturity (4 - Good)	Spiritual Maturity (5 - Superior)
Invests in Others	Invests in Others (Unsure)	Invests in Others (1 - Poor)	Invests in Others (2 - Fair)	Invests in Others (3 - Average)	Invests in Others (4 - Good)	Invests in Others (5 - Superior)
Servant Attitude	Servant Attitude (Unsure)	Servant Attitude (1 - Poor)	Servant Attitude (2 - Fair)	Servant Attitude (3 - Average)	Servant Attitude (4 - Good)	Servant Attitude (5 - Superior)
Church Attendance	Church Attendance (Unsure)	Church Attendance (1 - Poor)	Church Attendance (2 - Fair)	Church Attendance (3 - Average)	Church Attendance (4 - Good)	Church Attendance (5 - Superior)

Comments supporting your rating:

How would you describe the applicant's leadership ability?*

Prefers to follow Makes some effort to lead Good ability

How would you describe the applicant's emotional temperament?*

Highs are very high and lows are very low Tends to be moody Sometimes well-balanced Relatively stable Balanced and controlled

How would you describe the applicant's personality?*

Shy and withdrawn Reserved Quiet Friendly Outgoing Well-balanced

How would you describe the applicant's social interaction?*

Avoided by others Tolerated by others Well-liked by others Sought out by others

Would you want the applicant to counsel your child or children?*

Yes No Not Applicable

Comments:

Does the applicant have a good rapport with children?*

Yes No Unsure

Comments:

Does the applicant have the stamina to work at camp?*

Yes No Unsure

Comments:

My overall recommendation is...*

5 - Hire them! 4 - Great potential 3 - Good potential 2 - Limited potential 1 - Do not hire!

Why?*

Thank you for taking the time to complete this questionnaire! Please know that this information will be kept in the highest confidence and will not be shown to the applicant.

Your Name*

First Name

Last Name

Company

Phone Number

Email*