Reference Form

Name of Summer Staff applicant*
First Last
How long have you known the applicant?*
In what context?*
Section One
Please indicate which statements best describes the applicant in relation to each of the characteristics listed below.
Being on time*
Is the applicant on time to appointments, work, or other scheduled activities?
Outgoing and friendly*
Does the applicant exhibit a friendly and outgoing personality that interacts well with others?
Able to lead others*
Do you believe the applicant has the ability to successfully lead other people?
Consistent in Christian testimony*
Does the applicant demonstrate personal integrity in his or her daily actions and choices?
Disciplined in personal habits*
Does the applicant demonstrate good personal habits such as grooming, hygiene and general manners?
Able to adjust to different situations*
Is the applicant flexible and able to cope with change?
Inclined to criticize others*
Is the applicant negative or demeaning to others?
Able to work in team situations*
Can the applicant cooperate and work well with others?
Positive attitude towards authority*
Is the applicant able to accept direction and feedback from a supervisor with a positive attitude?
Demonstrates good work habits*
Is the applicant mature enough to work without anyone watching over them, display perseverance and have integrity in their work?
Section Two
Additional questions related to this applicant.
Would you consider the applicant qualified to counsel/supervise your child or teenager?*
Does the applicant demonstrate the spiritual and emotional maturity and interpersonal skills required to counsel children or youth?
Please explain:*
Does the applicant appear to be growing in his/her relationship with Christ?*
Has the applicant shown a consistency in their spiritual life including reading their Bible, prayer, involvement in a local church, etc.?
Please explain:
Areas of strength:*
What are some of the strengths or positive qualities of this applicant?
Areas for growth or improvement:*
What are some of the areas where the applicant still needs to grow or improve?
Please indicate your recommendation:*
Your Information
Your name*
First Last
Church or Organization
What church or organization do you represent?
Your title:
Thank you!
We appreciate the time you have taken to provide information that will be helpful in considering the applicant for our summer staff.

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Reference Form

Section One

Section Two

Your Information

Thank you!