Person who you are filling out this reference for:

In what capacity and how long have you known the applicant?

What type of friends does he or she choose?

To what extent is the applicant active in church or other religious activities to your knowledge?

Does the applicant possess any special abilities?

Does the applicant seem to have a genuine spiritual commitment?

Keeping our camp setting described above in mind, please rate the applicant using the following scale of performance:
5=superior
4=above average
3=average
2=below average
1=poor
0=no observation

Attitudes and Personal Qualities

Sense of responsibility 0 1 2 3 4 5

Self-Confidence 0 1 2 3 4 5

Courtesy 0 1 2 3 4 5

Receptiveness to suggestions or criticism 0 1 2 3 4 5

Emotional maturity and stability 0 1 2 3 4 5

Ability to get along with peers 0 1 2 3 4 5

Interest in welfare of others 0 1 2 3 4 5

Positive attitude toward supervision 0 1 2 3 4 5

Positive attitude toward opposite sex 0 1 2 3 4 5

Performance

Sees tasks through to completion 0 1 2 3 4 5

Cooperates in group assignments 0 1 2 3 4 5

Self-starting 0 1 2 3 4 5

Commits wholeheartedly to work 0 1 2 3 4 5

Dependable 0 1 2 3 4 5

Punctual 0 1 2 3 4 5

Able to work under stress 0 1 2 3 4 5

Leadership potential 0 1 2 3 4 5

Willing to go beyond expectations 0 1 2 3 4 5

Please feel free to include any additional specific recommendations pertaining to this applicant.

Thank you for your time and effort in supplying this information which will assist us in selecting the best people to the positions for which they are best qualified. Please remember, this applicant will not be considered until your reference is submitted.

Please check the appropriate statement.

Your Name

Date

Email Address:

Please include your daytime phone number so that we may call you and verify this reference. Please use this format (123)456-7890

Press submit to send in the form, or press reset to clear the form and start over.