Reference Form - CampGan.org

Please complete an online reference form for a potential employee.
Applicant Full Name*

First Name Last Name
Your Name*

First Name Last Name
Your E-mail*
Your Phone Number*

Area Code Phone Number
Your Cell Number*

Area Code Phone Number
Relationship with Applicant*
How long have you known him/her?*
Please indicate the appropriate rating for the following areas:
MATURITY*
CHARACTER*
DEPENDABILITY*
LEADERSHIP*
MOTIVATION*
JUDGEMENT*
COMMUNICATION*
SKILLS*
ENTHUSIASM*
WORK ETHIC*
How would you describe the applicant’s personal characteristics? (I.e. mature, withdrawn, shy, assertive, etc.)*
How would you rate the applicant’s ability to work with other staff members?*
How does the applicant deal with criticism? Direction?*
From your knowledge, how well does he/she relate to children?*
Would you want this person to be your child's counselor?*
Why or why not?*
To your knowledge, has the applicant suffered any significant physical or nervous difficulties which would interfere with his/her work with children?*
Evaluate the following statement: To your knowledge, has the applicant ever exhibited abusive or sexual improper tendencies towards others or has he/she ever been convicted of a felony or misdemeanor?*
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Please complete an online reference form for a potential employee.