Staff Reference Form

Applicant Information
Applicant's First Name
Applicant's Last Name
What is your relationship to the applicant
How long have you knows the applicant?
What position or work do they perform?
What were the results of their performance?
- Below Average
- Average
- Above Average
- Outstanding
Would you rehire this individual?
On a scale of 1-10 (10 being the best), how comfortable would you be leaving your own child in the care of this applicant?
On a scale of 1-10 (10 being the best), how do you think this applicant will respond to criticism?
On a scale of 1-10 (10 being the best), how do you rate the level of responsibility of this applicant to work in a camp enviornment?
Your Contact Information
How does the applicant relate to co-workers, supervisors, peers, children?
How does the applicant perform under stress?
What are the applicants skills and how well are they used?
Do you have any additional information that may be helpful in our evaluation of this applicant?
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