Staff Candidate Reference Form

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Staff Candidate Information
First Name		Last Name
Position Staff Candidate is applying for:
Reference Information
First Name		Last Name
Home Phone Number
E-mail Address
Relationship to Staff Candidate
Did the staff candidate ask you to use your name as a reference?		Yes No
Personality Traits
On a scale of 1-10 (with 1 being the lowest, 10 highest) how well does the candidate display the following personality traits?
Maturity
Enthusiasm
Leadership
Peer Relations
Teamwork
Dependability
Positive Attitude
Leading by Positive Example
Self-confidence
Respect of Authority
Time Management
Trustworthiness
Please Comment
How do you feel the applicant would perform when working with children ages 7 - 16?
Do you think this candidate would thrive in an environment where he/she is away from home, in our camp environment, for nine weeks?
Would you recommend the applicant for the position applied for? If not, please comment?
Other comments regarding this candidate.
Thank you for taking the time to fill out this form. If we have any comments or concerns, we may contact you again.
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