Staff Reference Form
Thank you for agreeing to serve as a reference for this applicant. Your comments are very helpful to our application process. Please take the time to fill out the following questions to the best of your knowledge. Your answers will be kept in confidence. When finished, please send back to the following address:
Camp Good News
Attn: Mimi Sellers
6205 Delany Road
Hitchcock, TX 77563
Your Name ________________________________________________________________
Name of applicant
Years you have known applicant?
How do you know the applicant?
Please rank the applicant on the following:
Please circle the best choice with 1 being the lowest and 5 being the highest.
- Responsibility N/A 1 2 3 4 5
- Maturity N/A 1 2 3 4 5
- Able to work as a team N/A 1 2 3 4 5
- Leadership skills N/A 1 2 3 4 5
- Energy N/A 1 2 3 4 5
- Experience working with children N/A 1 2 3 4 5
- Adaptability N/A 1 2 3 4 5
- Self motivation N/A 1 2 3 4 5
- Relationship with peers N/A 1 2 3 4 5
- Relationship with authority figures N/A 1 2 3 4 5
- Displays a positive attitude N/A 1 2 3 4 5
- Creativity N/A 1 2 3 4 5
-
Promptness N/A 1 2 3 4 5
- Follow instructions N/A 1 2 3 4 5
- Emotional Balance N/A 1 2 3 4 5
- Sense of humor N/A 1 2 3 4 5
- Temper control N/A 1 2 3 4 5
- Fulfills obligations N/A 1 2 3 4 5