Staff Reference Form

An applicant 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.

About the Applicant

Full Name of Applicant*

How long have you known the applicant?*

In what capacity have you known the applicant?*

Would you re-hire the applicant?

Yes
No

If no, for what reason?*

Rate the Applicant

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 mind when describing the applicant?

About You

Your Full Name*

Your Email Address*

School or Business

Address

Work at Camp

About the Applicant

Rate the Applicant

About You

Work at Camp