Staff Reference Form

Online Reference Form

The applicant below has applied for summer employment at Willow Lake Day Camp. Our employees spend a lot of time with our campers and are responsible for their care. With this in mind, you have been chosen by the applicant to submit your comments on the applicant’s qualifications for this type of employment. The questions posed on this form are important to the Directors, who appreciate you answering them candidly. Please do not feel limited by the questions. Please cover any topic and add any statements that you feel relevant. The information you provide will remain confidential. Your prompt reply is much appreciated. Thank you for your assistance.

Name of Applicant
How long have you known the applicant? (Required)
In what capacity?
Would you re-hire this person?	Yes No
If no, for what reason?
Is this the type of person you would want as a counselor for a child of your own?	Yes No
Rate the applicant in the following areas:
Dependability
Maturity
Cooperation
Leadership
Understands Children
Enthusiasm
Social Acceptability
Responsibility
Humor
Patience
Flexibility
Communication
Overall
Would you feel comfortable having the applicant be responsible for your child?	Yes No
Assess the applicant’s ability to work in a group setting – is he/she a team player? Can he/she follow the rules?
What words or phrases immediately come to mine when describing the applicant?
Your Full Name
Your Email Address? (Required)
School or Business
Address