Seasonal Camp Staff Reference Check

PLEASE NOTE: all fields are required must be completed for acceptance. The system will not allow required fields to be left unanswered. Please review entire form and be sure you have ALL necessary information available before you begin.

has applied for a staff position with River Valleys' summer camp program and provided your name as a reference.

Your honest remarks are greatly appreciated as we move through the hiring process for this applicant. Please take a few moments to answer the following questions. Keep in mind that summer camp jobs are very demanding and require someone who is hard working, flexible, determined and who can thrive in an outdoor environment working with girls of all ages.

1. In what relationship and for how long have you known the applicant?


2. Please describe the work ethic of this person.


3. What are the applicant's outstanding abilities in relation to working in a camp setting?


4. Are there any factors that might limit the applicant's effectiveness in an outdoor setting with children?


5 .Would you want this person as your child's camp counselor? Why or why not?


6. Would you hire this person if the opportunity presented itself?


7. Please rate the applicant on the following qualities and abilities:

Flexibility
Honesty
Ability to accept guidance
Leadership Ability
Emotional maturity
Teaching ability
Initiative
Dependability
Patience
Problem Solving
Behavior management skills
Energy/endurance
Organization
Sincere liking & understanding of children
Common Sense


8. If you rated the applicant "poor" or "excellent" on any qualities in the previous question, please take a moment to explain why.


9. Is there anything else we should know about this applicant?


Electronic Signature of Person Completing this Form:

By "signing and dating" (by typing your name and date below), I certify that all information included on this reference is true and complete. I understand that falsification or significant omission of any information may be considered justification for immediate dismissal if discovered at a later date.

Signed (type name):
Date:
Position:
Street Address:
City:
State:
Zip:
Email:
Phone Number (with area code):